Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00934 | Date 10/09/2018 |
| Token No | SM/18-19/1215 10/09/2018 | Serial | 024 |
| Patient Name | Mr. SK ABDUL | Contact No | |
| Address | DEY STREET | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/84 mmHg | Weight | 61 KG |
| Pulse Rate | 81 / min | Height | cm |
| Diagnosis | |||