Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00716 | Date 14/09/2018 |
| Token No | SM/18-19/959 14/09/2018 | Serial | 011 |
| Patient Name | Mr. ALOK MAL | Contact No | |
| Address | DEY STREE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 62 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||