Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00996 | Date 27/09/2018 |
| Token No | SM/18-19/1296 27/09/2018 | Serial | 036 |
| Patient Name | Mr. SAIKAT DAS | Contact No | 7734521066 |
| Address | MANIKTALA | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 62 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||