Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00909 | Date 10/09/2018 |
| Token No | SM/18-19/1189 10/09/2018 | Serial | 018 |
| Patient Name | Mrs. PARUL BANERJEE | Contact No | |
| Address | MUKHERJEE LANE | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/88 mmHg | Weight | 57 KG |
| Pulse Rate | 83 / min | Height | cm |
| Diagnosis | |||