Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01871 | Date 04/04/2019 |
| Token No | SM/18-19/3068 04/04/2019 | Serial | 043 |
| Patient Name | Mr. ASOK DAS | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||