Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00002 | Date 02/08/2018 |
| Token No | SM/18-19/802 08/09/2018 | Serial | 011 |
| Patient Name | Mr. BASIRUDDIN | Contact No | 8820074455 |
| Address | 13,K.C BHATTACHARYA LANE | Age | 59 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 170/80 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||