Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00637 | Date 08/09/2018 |
| Token No | SM/18-19/794 08/09/2018 | Serial | 003 |
| Patient Name | Mr. KRISHNA KISORE DEY | Contact No | |
| Address | DEY STREET | Age | 35 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | 130/80 mmHg | Weight | 68 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||