Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00028 | Date 03/08/2018 |
| Token No | SM/18-19/28 03/08/2018 | Serial | 009 |
| Patient Name | Mr. BADRINATH PAL | Contact No | NOT GIVEN |
| Address | HOUSING COMPLEX | Age | 77 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/85 mmHg | Weight | KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||