Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00980 | Date 27/09/2018 |
| Token No | SM/18-19/1272 27/09/2018 | Serial | 012 |
| Patient Name | Mr. TAPAN MANDAL | Contact No | NOT GIVEN |
| Address | BALLAVPUR GHAT | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 170/100 mmHg | Weight | KG |
| Pulse Rate | 100 / min | Height | cm |
| Diagnosis | |||