Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00400 | Date 13/08/2018 |
| Token No | SM/18-19/454 13/08/2018 | Serial | 061 |
| Patient Name | Mr. KESAB CHANDRA | Contact No | |
| Address | SERAMPORE | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 70 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||