Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00938 | Date 10/09/2018 |
| Token No | SM/18-19/1219 10/09/2018 | Serial | 028 |
| Patient Name | Mr. KINGSUK BOSE | Contact No | 7890226551 |
| Address | BATTALA | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 59 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||