Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02784 | Date 13/08/2019 |
| Token No | SM/18-19/5577 13/08/2019 | Serial | 002 |
| Patient Name | Mr. KAUSTAV KUMAR ROY | Contact No | 7002585986 |
| Address | PANCHANAN TALA LANE | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 70 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||