Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00108 | Date 07/08/2018 |
| Token No | SM/18-19/112 07/08/2018 | Serial | 008 |
| Patient Name | Mr. TARAK SHAW | Contact No | 9433668970 |
| Address | T P BHATTACHARJEE STREET | Age | 55 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||