Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00875 | Date 03/09/2018 |
| Token No | SM/18-19/1147 03/09/2018 | Serial | 006 |
| Patient Name | Miss MADHUPARNA SEN | Contact No | 7004585213 |
| Address | Age | 21 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 46 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||