Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00184 | Date 18/08/2018 |
| Token No | SM/18-19/907 11/09/2018 | Serial | 038 |
| Patient Name | Mr. ABHIJIT SARKAR | Contact No | |
| Address | Age | 37 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 132/78 mmHg | Weight | KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||