Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01076 | Date 05/10/2018 |
| Token No | SM/18-19/1401 05/10/2018 | Serial | 042 |
| Patient Name | Mr. SANTANU PAKIRA | Contact No | |
| Address | BATTALA | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 61 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||