Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00426 | Date 14/08/2018 |
| Token No | SM/18-19/488 14/08/2018 | Serial | 002 |
| Patient Name | Mr. SUSANTA BANIK | Contact No | |
| Address | SERAMPORE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/70 mmHg | Weight | 65 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||