Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00931 | Date 10/09/2018 |
| Token No | SM/18-19/1212 10/09/2018 | Serial | 021 |
| Patient Name | Mrs. RITA RANI GHOSH | Contact No | |
| Address | BATTALA | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 60 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||