Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00790 | Date 22/09/2018 |
| Token No | SM/18-19/1052 22/09/2018 | Serial | 032 |
| Patient Name | Miss RINKU PAL | Contact No | 7005698412 |
| Address | DAKTAR LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||