Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00694 | Date 13/09/2018 |
| Token No | SM/18-19/931 13/09/2018 | Serial | 020 |
| Patient Name | Mr. SEKH ALI | Contact No | |
| Address | MALLICKPARA | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 59 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||