Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01033 | Date 28/09/2018 |
| Token No | SM/18-19/1341 28/09/2018 | Serial | 031 |
| Patient Name | Mr. NABIN CH SANTRA | Contact No | 9436542875 |
| Address | RAM SITA LANE | Age | 46 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 62 KG |
| Pulse Rate | 102 / min | Height | cm |
| Diagnosis | |||