Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01476 | Date 20/12/2018 |
| Token No | SM/18-19/2094 20/12/2018 | Serial | 042 |
| Patient Name | Mr. BITAN MAITY | Contact No | NOT GIVEN |
| Address | Age | 24 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||