Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02785 | Date 13/08/2019 |
| Token No | SM/18-19/5578 13/08/2019 | Serial | 003 |
| Patient Name | Mr. SWARUP CHANDA | Contact No | 9674852589 |
| Address | HINDMOTOR | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 76 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||