Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00179 | Date 18/08/2018 |
| Token No | SM/18-19/188 18/08/2018 | Serial | 024 |
| Patient Name | Mr. NIRMAL DAS | Contact No | |
| Address | Age | 80 YRS Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/78 mmHg | Weight | 72 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||