Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00147 | Date 08/08/2018 |
| Token No | SM/18-19/155 08/08/2018 | Serial | 021 |
| Patient Name | Mr. KESTO MUKHERJEE | Contact No | |
| Address | Age | 40 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||