Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00869 | Date 12/09/2018 |
| Token No | SM/18-19/1141 12/09/2018 | Serial | 031 |
| Patient Name | Mr. DENOBANDHU ROY | Contact No | |
| Address | DEY STREET | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/86 mmHg | Weight | 61 KG |
| Pulse Rate | 85 / min | Height | cm |
| Diagnosis | |||