Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00936 | Date 10/09/2018 |
| Token No | SM/18-19/1217 10/09/2018 | Serial | 026 |
| Patient Name | Mrs. SANJULATA BABANGO | Contact No | 7890112006 |
| Address | DEY STREET | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||