Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00670 | Date 11/09/2018 |
| Token No | SM/18-19/877 11/09/2018 | Serial | 008 |
| Patient Name | Mr. GOURAB BISWAS | Contact No | |
| Address | MANIKTALA | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/80 mmHg | Weight | 61 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||