Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01026 | Date 28/09/2018 |
| Token No | SM/18-19/1332 28/09/2018 | Serial | 022 |
| Patient Name | Mr. ROBI SARKAR | Contact No | 8428705925 |
| Address | 599 GT ROAD | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 60 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||