Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01195 | Date 07/09/2018 |
| Token No | SM/18-19/1610 07/09/2018 | Serial | 031 |
| Patient Name | Mr. ANKUSH DAS | Contact No | |
| Address | Age | 36 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 142/90 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||