Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01182 | Date 07/09/2018 |
| Token No | SM/18-19/1597 07/09/2018 | Serial | 018 |
| Patient Name | Mr. ANIK KARMAKAR | Contact No | |
| Address | Age | 63 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 156/80 mmHg | Weight | KG |
| Pulse Rate | 87 / min | Height | cm |
| Diagnosis | |||