Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03681 | Date 06/01/2020 |
| Token No | SM/19-20/8243 06/01/2020 | Serial | 012 |
| Patient Name | Mr. MD DILBARUDDIN | Contact No | 9674859844 |
| Address | INDIA JUTE MILL | Age | 45 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | 155/80 mmHg | Weight | 60 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||