Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 02726 | Date 06/08/2019 |
| Token No | SM/18-19/5424 06/08/2019 | Serial | 003 |
| Patient Name | Mr. BARUN PAL | Contact No | 6989582002 |
| Address | MAHESH COLONY | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||