Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00957 | Date 24/09/2018 |
| Token No | SM/18-19/1238 24/09/2018 | Serial | 017 |
| Patient Name | Mr. BHOLA NATH DEY | Contact No | 9432484698 |
| Address | DEY STREET | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 128/76 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||