Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00705 | Date 13/09/2018 |
| Token No | SM/18-19/942 13/09/2018 | Serial | 031 |
| Patient Name | Mr. DILIP ROY | Contact No | |
| Address | MANIK TALA | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 65 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||