Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00769 | Date 22/09/2018 |
| Token No | SM/18-19/1031 22/09/2018 | Serial | 011 |
| Patient Name | Miss PRIYANKA MONDAL | Contact No | 7001254684 |
| Address | CHATTERJEE LANE | Age | 22 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||