Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00892 | Date 03/09/2018 |
| Token No | SM/18-19/1171 03/09/2018 | Serial | 030 |
| Patient Name | Miss RAIMA SEN | Contact No | |
| Address | BAT TALA | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 53 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||