Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00684 | Date 13/09/2018 |
| Token No | SM/18-19/921 13/09/2018 | Serial | 010 |
| Patient Name | Mr. UTTAM KUMAR DAS | Contact No | |
| Address | K B BHATTACHARJEE LANE | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/78 mmHg | Weight | 81 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||