Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00727 | Date 14/09/2018 |
| Token No | SM/18-19/970 14/09/2018 | Serial | 022 |
| Patient Name | Mr. BASUDEV SIKDER | Contact No | |
| Address | DEY STREE | Age | 52 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/84 mmHg | Weight | 60 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||