Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00768 | Date 22/09/2018 |
| Token No | SM/18-19/1030 22/09/2018 | Serial | 010 |
| Patient Name | Mrs. INDIRA DEBNATH | Contact No | 7890456231 |
| Address | DEY STREET | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 47 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||