Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00701 | Date 13/09/2018 |
| Token No | SM/18-19/1381 05/10/2018 | Serial | 022 |
| Patient Name | Mr. DEBU PAL | Contact No | |
| Address | INDIA JUTE MILL | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||