Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01008 | Date 27/09/2018 |
| Token No | SM/18-19/1309 27/09/2018 | Serial | 049 |
| Patient Name | Mrs. SHAMPA SAMANTA | Contact No | 7008541023 |
| Address | CHATTERJEE LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 55 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||