Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01178 | Date 07/09/2018 |
| Token No | SM/18-19/1593 07/09/2018 | Serial | 014 |
| Patient Name | Mr. JAYANTA BARUA | Contact No | |
| Address | Age | 65 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/88 mmHg | Weight | KG |
| Pulse Rate | 96 / min | Height | cm |
| Diagnosis | |||