Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00448 | Date 14/08/2018 |
| Token No | SM/18-19/512 14/08/2018 | Serial | 026 |
| Patient Name | Mr. SWAPAN SATRA | Contact No | |
| Address | Age | 52 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/74 mmHg | Weight | 64 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||