Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01005 | Date 27/09/2018 |
| Token No | SM/18-19/1306 27/09/2018 | Serial | 046 |
| Patient Name | Mrs. KRITIKA DEY | Contact No | |
| Address | DEY STREET | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/76 mmHg | Weight | 54 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||