Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00949 | Date 24/09/2018 |
| Token No | SM/18-19/1230 24/09/2018 | Serial | 009 |
| Patient Name | Mr. SRIPATI BHAR | Contact No | 8670523684 |
| Address | CHOWDHURI PARA LANE | Age | 52 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 136/78 mmHg | Weight | KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||