Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01054 | Date 05/10/2018 |
| Token No | SM/18-19/1377 05/10/2018 | Serial | 018 |
| Patient Name | Mrs. KUHELI DEY | Contact No | 7477859632 |
| Address | DEY STREET | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 55 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||