Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00848 | Date 12/09/2018 |
| Token No | SM/18-19/1120 12/09/2018 | Serial | 010 |
| Patient Name | Mr. AMAR NATH CHATTERJEE | Contact No | |
| Address | MANIK TALA | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 62 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||