Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00394 | Date 13/08/2018 |
| Token No | SM/18-19/446 13/08/2018 | Serial | 053 |
| Patient Name | Mr. ATUL BANERJEE | Contact No | |
| Address | Age | 50 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 61 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||