Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00903 | Date 10/09/2018 |
| Token No | SM/18-19/1183 10/09/2018 | Serial | 012 |
| Patient Name | Mr. SAGNIK SUR | Contact No | 7602554193 |
| Address | MANIKTALA | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/78 mmHg | Weight | 58 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||