Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00796 | Date 22/09/2018 |
| Token No | SM/18-19/1058 22/09/2018 | Serial | 038 |
| Patient Name | Mrs. MOUMITA SARDAR | Contact No | |
| Address | DAKTAR LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 122/74 mmHg | Weight | 46 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||