Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00490 | Date 20/08/2018 |
| Token No | SM/18-19/569 20/08/2018 | Serial | 016 |
| Patient Name | Mr. PRADIP DAS | Contact No | |
| Address | Age | 34 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||