Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00900 | Date 10/09/2018 |
| Token No | SM/18-19/1180 10/09/2018 | Serial | 009 |
| Patient Name | Mr. UTSAV SEN | Contact No | 9736021155 |
| Address | MANIKTALA | Age | 17 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/76 mmHg | Weight | 52 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||