Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00328 | Date 28/08/2018 |
| Token No | SM/18-19/565 20/08/2018 | Serial | 012 |
| Patient Name | Mr. SUNIL CHATTERJEE | Contact No | |
| Address | KASHI DOCTOR LANE | Age | 60 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 74 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||