Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00520 | Date 20/08/2018 |
| Token No | SM/18-19/604 20/08/2018 | Serial | 051 |
| Patient Name | Mr. PARTHA DEY | Contact No | |
| Address | Age | 57 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 148/72 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||