Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00271 | Date 11/08/2018 |
| Token No | SM/18-19/299 11/08/2018 | Serial | 017 |
| Patient Name | Mr. SUBHASH DAS | Contact No | |
| Address | Age | 48 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 74 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||