Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00535 | Date 31/08/2018 |
| Token No | SM/18-19/624 31/08/2018 | Serial | 003 |
| Patient Name | Mr. KANAI LAL DAS | Contact No | |
| Address | Age | 40 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 64 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||