Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00460 | Date 14/08/2018 |
| Token No | SM/18-19/530 14/08/2018 | Serial | 044 |
| Patient Name | Mr. B.N.CHAKRABORTY | Contact No | |
| Address | DEY STREET | Age | 71 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||