Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01867 | Date 04/04/2019 |
| Token No | SM/18-19/3063 04/04/2019 | Serial | 038 |
| Patient Name | Mr. PABAN PALAN SAHA | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||