Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01058 | Date 05/10/2018 |
| Token No | SM/18-19/1382 05/10/2018 | Serial | 023 |
| Patient Name | Mr. BIPIN CHANDA | Contact No | |
| Address | BATTALA | Age | 74 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 57 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||