Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00929 | Date 10/09/2018 |
| Token No | SM/18-19/2006 18/12/2018 | Serial | 032 |
| Patient Name | Mr. BAPI BARMAN | Contact No | |
| Address | Age | 29 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/84 mmHg | Weight | 55 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||