Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01875 | Date 04/04/2019 |
| Token No | SM/18-19/3072 04/04/2019 | Serial | 047 |
| Patient Name | Mr. CHIRANJIT DAS | Contact No | |
| Address | Age | 30 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||