Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02724 | Date 06/08/2019 |
| Token No | SM/18-19/5422 06/08/2019 | Serial | 001 |
| Patient Name | Mr. PRADIP DAS | Contact No | NOT GIVEN |
| Address | 79 DEY STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 75 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||