Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00849 | Date 12/09/2018 |
| Token No | SM/18-19/1121 12/09/2018 | Serial | 011 |
| Patient Name | Mrs. KAKOLI ROY | Contact No | 9093651284 |
| Address | K C BHATTACHARJEE LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/76 mmHg | Weight | 52 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||