Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00719 | Date 14/09/2018 |
| Token No | SM/18-19/962 14/09/2018 | Serial | 014 |
| Patient Name | Mr. KALYAN GHOSH | Contact No | 9093895311 |
| Address | KASHI DAKTER LANE | Age | 54 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/86 mmHg | Weight | 62 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||