Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00604 | Date 21/08/2018 |
| Token No | SM/18-19/721 21/08/2018 | Serial | 003 |
| Patient Name | Mr. SWAPAN CHOWDHURI | Contact No | |
| Address | Age | 50 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||