Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00288 | Date 09/08/2018 |
| Token No | SM/18-19/321 09/08/2018 | Serial | 009 |
| Patient Name | Mr. ANANDA PAL | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 64 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||