Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00434 | Date 14/08/2018 |
| Token No | SM/18-19/496 14/08/2018 | Serial | 010 |
| Patient Name | Mr. J.D BISWAL | Contact No | |
| Address | SERAMPORE | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/80 mmHg | Weight | 76 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||