Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00787 | Date 22/09/2018 |
| Token No | SM/18-19/1049 22/09/2018 | Serial | 029 |
| Patient Name | Miss BARSHA ROY | Contact No | 9775682413 |
| Address | CHATTREJEE LANE | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 40 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||