Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01019 | Date 28/09/2018 |
| Token No | SM/18-19/1323 28/09/2018 | Serial | 013 |
| Patient Name | Mr. SUMANTO PRADHAN | Contact No | 9093564120 |
| Address | INDIAN JUTE MILL | Age | 30 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 56 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||