Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00772 | Date 22/09/2018 |
| Token No | SM/18-19/1034 22/09/2018 | Serial | 014 |
| Patient Name | Mrs. PAMELA ROY | Contact No | 7890256341 |
| Address | DAKTAR LANE | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/84 mmHg | Weight | 60 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||