Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02819 | Date 16/08/2019 |
| Token No | SM/18-19/5666 16/08/2019 | Serial | 034 |
| Patient Name | Mr. SASHMAL PAL | Contact No | 9002585890 |
| Address | PATUA PARA | Age | 39 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||