Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01071 | Date 05/10/2018 |
| Token No | SM/18-19/1396 05/10/2018 | Serial | 037 |
| Patient Name | Mrs. SUMITYA CHATTERJEE | Contact No | |
| Address | CHATTERJEE LANE | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/78 mmHg | Weight | 63 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||