Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00807 | Date 22/09/2018 |
| Token No | SM/18-19/1069 22/09/2018 | Serial | 049 |
| Patient Name | Miss DEBARPRITA GHOSHMONDAL | Contact No | 7602458961 |
| Address | BATTALA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 46 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||