Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01207 | Date 07/09/2018 |
| Token No | SM/18-19/1622 07/09/2018 | Serial | 043 |
| Patient Name | Mr. TARUN KUNDU | Contact No | |
| Address | Age | 65 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||