Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00289 | Date 09/08/2018 |
| Token No | SM/18-19/322 09/08/2018 | Serial | 010 |
| Patient Name | Mr. PARIMAL KUNDU | Contact No | |
| Address | Age | 43 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||