Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00774 | Date 22/09/2018 |
| Token No | SM/18-19/1036 22/09/2018 | Serial | 016 |
| Patient Name | Miss MADHUPARNA CHAKRABORTY | Contact No | 9748561230 |
| Address | CHATTERJEE LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||