Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00847 | Date 12/09/2018 |
| Token No | SM/18-19/1119 12/09/2018 | Serial | 009 |
| Patient Name | Mr. MRIDUL SEN | Contact No | |
| Address | DEY BAGAN | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 54 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||