Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00677 | Date 13/09/2018 |
| Token No | SM/18-19/912 13/09/2018 | Serial | 001 |
| Patient Name | Mr. VASKAR PRADHAN | Contact No | NOT GIVEN |
| Address | 9 NO LINE INDIA JUTE MILL | Age | 57 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 44 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||