Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00759 | Date 22/09/2018 |
| Token No | SM/18-19/1021 22/09/2018 | Serial | 001 |
| Patient Name | Mrs. DEPALI SINGHA | Contact No | 7509645211 |
| Address | CHATTERJEE LANE | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/78 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||