Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00906 | Date 10/09/2018 |
| Token No | SM/18-19/1186 10/09/2018 | Serial | 015 |
| Patient Name | Mrs. SUMONA GHOSH | Contact No | 7005526391 |
| Address | DEY STREET | Age | 23 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 54 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||