Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01140 | Date 12/10/2018 |
| Token No | SM/18-19/1530 12/10/2018 | Serial | 003 |
| Patient Name | Mr. SUBOL PRAMANIK | Contact No | 9144437165 |
| Address | JOLKOL WORKER | Age | 62 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||