Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 01172 | Date 07/09/2018 |
| Token No | SM/18-19/1581 07/09/2018 | Serial | 002 |
| Patient Name | Mr. RAJA BHUIYA | Contact No | 8270586287 |
| Address | DEY BAGAN LANE | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/88 mmHg | Weight | KG |
| Pulse Rate | 67 / min | Height | cm |
| Diagnosis | |||