Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00457 | Date 14/08/2018 |
| Token No | SM/18-19/527 14/08/2018 | Serial | 041 |
| Patient Name | Mr. ASUTOSH GANGULY | Contact No | |
| Address | Age | 62 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 128/86 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||