Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00866 | Date 12/09/2018 |
| Token No | SM/18-19/1138 12/09/2018 | Serial | 028 |
| Patient Name | Mrs. SULEKHA NANDI | Contact No | 9745826300 |
| Address | DEY STREET | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 59 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||