Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00810 | Date 22/09/2018 |
| Token No | SM/18-19/1072 22/09/2018 | Serial | 052 |
| Patient Name | Mrs. NIKITA SAHA | Contact No | 9038549761 |
| Address | BATTALA | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 50 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||