Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00145 | Date 08/08/2018 |
| Token No | SM/18-19/153 08/08/2018 | Serial | 019 |
| Patient Name | Mr. SUKANTA CHATTERJEE | Contact No | |
| Address | Age | 64 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 120/60 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||