Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00811 | Date 22/09/2018 |
| Token No | SM/18-19/1073 22/09/2018 | Serial | 053 |
| Patient Name | Miss TANIYA DEY | Contact No | |
| Address | Age | 24 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/72 mmHg | Weight | 48 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||