Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00181 | Date 18/08/2018 |
| Token No | SM/18-19/191 18/08/2018 | Serial | 027 |
| Patient Name | Mr. DINABANDHU SEN | Contact No | |
| Address | Age | 65 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 55 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||