Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00929 | Date 10/09/2018 |
| Token No | SM/18-19/1210 10/09/2018 | Serial | 019 |
| Patient Name | Mr. BAPI BARMAN | Contact No | |
| Address | Age | 29 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 59 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||