Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01001 | Date 27/09/2018 |
| Token No | SM/18-19/1302 27/09/2018 | Serial | 042 |
| Patient Name | Mrs. TITHI SEN | Contact No | 8583662140 |
| Address | DEY STREET | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||