Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00614 | Date 21/08/2018 |
| Token No | SM/18-19/882 11/09/2018 | Serial | 013 |
| Patient Name | Mr. DIPU DEY | Contact No | |
| Address | Age | 45 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 140/77 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||