Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00767 | Date 22/09/2018 |
| Token No | SM/18-19/1029 22/09/2018 | Serial | 009 |
| Patient Name | Mrs. TUMPA SAMANTA | Contact No | 9093895467 |
| Address | MANIKTALA | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||