Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00970 | Date 25/09/2018 |
| Token No | SM/18-19/1257 25/09/2018 | Serial | 019 |
| Patient Name | Mr. SUMANTA PRADHAN | Contact No | 8436602578 |
| Address | INDIA JUTE MILL LINE | Age | 31 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 54 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||