Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00939 | Date 10/09/2018 |
| Token No | SM/18-19/1220 10/09/2018 | Serial | 029 |
| Patient Name | Miss PIYALI BHATTACHARYA | Contact No | 9004877720 |
| Address | MANIKTALA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 43 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||