Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00922 | Date 10/09/2018 |
| Token No | SM/18-19/1203 10/09/2018 | Serial | 012 |
| Patient Name | Miss ANANYA MAJUMDER | Contact No | 9330211477 |
| Address | BATTALA | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 56 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||