Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01079 | Date 05/10/2018 |
| Token No | SM/18-19/1404 05/10/2018 | Serial | 045 |
| Patient Name | Mr. ANUPAM BISWAS | Contact No | |
| Address | MANIKTALA | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 73 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||