Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00933 | Date 10/09/2018 |
| Token No | SM/18-19/1214 10/09/2018 | Serial | 023 |
| Patient Name | Mrs. RITA CHATTERJEE | Contact No | |
| Address | DEY STREET | Age | 51 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/82 mmHg | Weight | 55 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||