Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00426 | Date 14/08/2018 |
| Token No | SM/18-19/892 11/09/2018 | Serial | 023 |
| Patient Name | Mr. SUSANTA BANIK | Contact No | |
| Address | SERAMPORE | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||