Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00854 | Date 12/09/2018 |
| Token No | SM/18-19/1126 12/09/2018 | Serial | 016 |
| Patient Name | Mrs. MENOKA PRAMANIK | Contact No | |
| Address | MANIKTALA | Age | 63 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/90 mmHg | Weight | 54 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||