Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00074 | Date 06/08/2018 |
| Token No | SM/18-19/74 06/08/2018 | Serial | 001 |
| Patient Name | Mr. RAJA SHAW | Contact No | |
| Address | MANIK TALA | Age | 20 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||