Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00373 | Date 13/08/2018 |
| Token No | SM/18-19/640 31/08/2018 | Serial | 019 |
| Patient Name | Mr. RATUL NANDI | Contact No | |
| Address | Age | 36 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 67 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||