Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00904 | Date 10/09/2018 |
| Token No | SM/18-19/1184 10/09/2018 | Serial | 013 |
| Patient Name | Mrs. MUNMUN BHAR | Contact No | |
| Address | MUKHERJEE LANE | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/76 mmHg | Weight | 59 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||