Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00855 | Date 12/09/2018 |
| Token No | SM/18-19/1127 12/09/2018 | Serial | 017 |
| Patient Name | Miss DEBJANI CHAKRABORTY | Contact No | 9038526174 |
| Address | 3 NO MUKHERJEE LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 46 KG |
| Pulse Rate | 79 / min | Height | cm |
| Diagnosis | |||