Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01073 | Date 05/10/2018 |
| Token No | SM/18-19/1398 05/10/2018 | Serial | 039 |
| Patient Name | Mr. DIPANJAN PAL | Contact No | |
| Address | MANIKTALA | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/74 mmHg | Weight | 56 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||