Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00928 | Date 10/09/2018 |
| Token No | SM/18-19/1209 10/09/2018 | Serial | 018 |
| Patient Name | Miss ANEWSHA BARMAN | Contact No | |
| Address | MANIKTALA | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 51 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||