Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00916 | Date 10/09/2018 |
| Token No | SM/18-19/1196 10/09/2018 | Serial | 005 |
| Patient Name | Miss ABHISIKTA SAHA | Contact No | 9836457702 |
| Address | MANIKTALA | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 45 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||