Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00879 | Date 03/09/2018 |
| Token No | SM/18-19/1151 03/09/2018 | Serial | 010 |
| Patient Name | Mr. NAKUL GHOSH | Contact No | |
| Address | BATTALA | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 64 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||