Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00793 | Date 22/09/2018 |
| Token No | SM/18-19/1055 22/09/2018 | Serial | 035 |
| Patient Name | Mrs. MOUTUSHI MUKHERJEE | Contact No | |
| Address | DAKTAR LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/82 mmHg | Weight | 66 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||