Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 01018 | Date 28/09/2018 |
| Token No | SM/18-19/1322 28/09/2018 | Serial | 012 |
| Patient Name | Mr. RANJIT DAS | Contact No | 8270539095 |
| Address | SOSIBHUSAN BOSE LANE | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/74 mmHg | Weight | 60 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||