Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00074 | Date 06/08/2018 |
| Token No | SM/18-19/1587 07/09/2018 | Serial | 008 |
| Patient Name | Mr. RAJA SHAW | Contact No | |
| Address | MANIK TALA | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 138/86 mmHg | Weight | 67 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||