Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00371 | Date 13/08/2018 |
| Token No | SM/18-19/1288 27/09/2018 | Serial | 028 |
| Patient Name | Miss PIYALI SAHA | Contact No | |
| Address | 2 NO DHARMATALA | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 56 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||