Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01067 | Date 05/10/2018 |
| Token No | SM/18-19/1392 05/10/2018 | Serial | 033 |
| Patient Name | Mr. ABHISEK BANERJEE | Contact No | |
| Address | MANIKTALA | Age | 42 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 63 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||