Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00084 | Date 06/08/2018 |
| Token No | SM/18-19/87 06/08/2018 | Serial | 014 |
| Patient Name | Mr. AMIT SAHA | Contact No | |
| Address | Age | 40 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||