Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00685 | Date 13/09/2018 |
| Token No | SM/18-19/922 13/09/2018 | Serial | 011 |
| Patient Name | Mr. MADHUSUDAN MALIK | Contact No | |
| Address | B P DEY STREET | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 142/82 mmHg | Weight | 64 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||