Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00801 | Date 22/09/2018 |
| Token No | SM/18-19/1063 22/09/2018 | Serial | 043 |
| Patient Name | Mrs. RADHARANI MUKHERJEE | Contact No | |
| Address | CHATTERJEE LANE | Age | 64 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 56 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||