Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02727 | Date 06/08/2019 |
| Token No | SM/18-19/5425 06/08/2019 | Serial | 004 |
| Patient Name | Mr. RABI SARKAR | Contact No | NOT GIVEN |
| Address | KALITALA | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||