Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01199 | Date 07/09/2018 |
| Token No | SM/18-19/1614 07/09/2018 | Serial | 035 |
| Patient Name | Mr. KRISHNO DAS | Contact No | |
| Address | Age | 58 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/82 mmHg | Weight | KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||