Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01406 | Date 18/12/2018 |
| Token No | SM/18-19/2014 18/12/2018 | Serial | 040 |
| Patient Name | Mr. RAM GHOSH | Contact No | |
| Address | DEY GHAT LANE | Age | 46 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 50 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||