Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00873 | Date 03/09/2018 |
| Token No | SM/18-19/1145 03/09/2018 | Serial | 004 |
| Patient Name | Mrs. RINKU SEN | Contact No | |
| Address | Age | 31 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 116/74 mmHg | Weight | 56 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||