Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00932 | Date 10/09/2018 |
| Token No | SM/18-19/1213 10/09/2018 | Serial | 022 |
| Patient Name | Mrs. PAYEL DUTTA | Contact No | 9775482110 |
| Address | MANIKTALA | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 57 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||