Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01052 | Date 05/10/2018 |
| Token No | SM/18-19/1373 05/10/2018 | Serial | 014 |
| Patient Name | Mr. ABHIT KR PAL | Contact No | 8647849386 |
| Address | 3A RUPCHAND CHAPRASI LANE | Age | 74 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | 100 / min | Height | cm |
| Diagnosis | |||