Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01065 | Date 05/10/2018 |
| Token No | SM/18-19/1390 05/10/2018 | Serial | 031 |
| Patient Name | Mr. TRIJOY SAHA | Contact No | 9735621048 |
| Address | DEY STREET | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||