Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01062 | Date 05/10/2018 |
| Token No | SM/18-19/1387 05/10/2018 | Serial | 028 |
| Patient Name | Miss SABNAM ASHU | Contact No | 9775483621 |
| Address | DEY GHAT LANE | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 47 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||