Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00798 | Date 22/09/2018 |
| Token No | SM/18-19/1060 22/09/2018 | Serial | 040 |
| Patient Name | Miss MOUPRIYA SANTRA | Contact No | 7890452163 |
| Address | BATTALA | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||