Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01173 | Date 07/09/2018 |
| Token No | SM/18-19/1588 07/09/2018 | Serial | 009 |
| Patient Name | Mr. BRAMHACHARI DUTTA | Contact No | |
| Address | Age | 60 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 138/78 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||