Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01200 | Date 07/09/2018 |
| Token No | SM/18-19/1615 07/09/2018 | Serial | 036 |
| Patient Name | Mr. NIRMAL PODDAR | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 152/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||