Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00907 | Date 10/09/2018 |
| Token No | SM/18-19/1187 10/09/2018 | Serial | 016 |
| Patient Name | Miss RIYA BISWAS | Contact No | 7004451239 |
| Address | BATTALA | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 47 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||