Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00532 | Date 30/08/2018 |
| Token No | SM/18-19/779 06/09/2018 | Serial | 017 |
| Patient Name | Mr. PARIMAL DEY | Contact No | |
| Address | DEY STREET | Age | 68 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 152/88 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||