Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00920 | Date 10/09/2018 |
| Token No | SM/18-19/1201 10/09/2018 | Serial | 010 |
| Patient Name | Mrs. SUTANUKA SARKAR | Contact No | 9093895471 |
| Address | BATTALA | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/78 mmHg | Weight | 60 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||