Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00864 | Date 12/09/2018 |
| Token No | SM/18-19/1136 12/09/2018 | Serial | 026 |
| Patient Name | Miss PRITI DAS | Contact No | 7004586921 |
| Address | K C BHATTACHARJEE LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/70 mmHg | Weight | 45 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||