Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00187 | Date 17/08/2018 |
| Token No | SM/18-19/405 13/08/2018 | Serial | 012 |
| Patient Name | Mr. GANESH KARMAKAR | Contact No | |
| Address | Age | 60 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 58 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||