Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00742 | Date 19/09/2018 |
| Token No | SM/18-19/995 19/09/2018 | Serial | 005 |
| Patient Name | Mr. HORIPADA CHAKRABORTY | Contact No | |
| Address | CHATTERJEE LANE | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 65 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||