Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00994 | Date 27/09/2018 |
| Token No | SM/18-19/1294 27/09/2018 | Serial | 034 |
| Patient Name | Mr. SAILENDRA JANA | Contact No | |
| Address | 2 NO DHARMATALA | Age | 57 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 58 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||