Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02516 | Date 19/07/2019 |
| Token No | SM/18-19/5504 07/08/2019 | Serial | 020 |
| Patient Name | Mr. BIKASH PAL | Contact No | 9836304972 |
| Address | 84A PATUA PARA LANE | Age | 73 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 136/90 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||