Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01872 | Date 04/04/2019 |
| Token No | SM/18-19/3069 04/04/2019 | Serial | 044 |
| Patient Name | Mr. PRATIM GHOSH | Contact No | |
| Address | Age | 40 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||