Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01063 | Date 05/10/2018 |
| Token No | SM/18-19/1388 05/10/2018 | Serial | 029 |
| Patient Name | Mrs. NABANITA BAG | Contact No | |
| Address | DEY GHAT LANE | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 58 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||