Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00592 | Date 16/08/2018 |
| Token No | SM/18-19/700 16/08/2018 | Serial | 024 |
| Patient Name | Mr. ASHOK GHATAK | Contact No | |
| Address | Age | 55 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 136/82 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||