Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00226 | Date 25/08/2018 |
| Token No | SM/18-19/243 25/08/2018 | Serial | 013 |
| Patient Name | Mr. AJIRUDDIN SEKH | Contact No | |
| Address | SERAMPORE | Age | 35 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||