Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01074 | Date 05/10/2018 |
| Token No | SM/18-19/1399 05/10/2018 | Serial | 040 |
| Patient Name | Mr. KOUSHIK BANERJEE | Contact No | |
| Address | CHATTERJEE LANE | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/80 mmHg | Weight | 60 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||