Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01068 | Date 05/10/2018 |
| Token No | SM/18-19/1393 05/10/2018 | Serial | 034 |
| Patient Name | Miss SAYANTHIKA SAHA | Contact No | 6574890215 |
| Address | MANIKTALA | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 45 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||