Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00729 | Date 14/09/2018 |
| Token No | SM/18-19/972 14/09/2018 | Serial | 024 |
| Patient Name | Mr. GOLOK PAL | Contact No | |
| Address | MANIKTALA | Age | 45 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 62 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||