Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 01206 | Date 07/09/2018 |
| Token No | SM/18-19/1621 07/09/2018 | Serial | 042 |
| Patient Name | Mr. SOUGATA SAHA | Contact No | 9477502081 |
| Address | THAKUR BATI STREET | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/78 mmHg | Weight | KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||