Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00683 | Date 13/09/2018 |
| Token No | SM/18-19/920 13/09/2018 | Serial | 009 |
| Patient Name | Mr. BAIJYANTI DOM | Contact No | |
| Address | DEY GHAT LANE | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 52 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||