Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00789 | Date 22/09/2018 |
| Token No | SM/18-19/1051 22/09/2018 | Serial | 031 |
| Patient Name | Mrs. SUKANYA GHOSH | Contact No | 9093895642 |
| Address | MANIKTALA | Age | 33 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/78 mmHg | Weight | 65 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||