Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01189 | Date 07/09/2018 |
| Token No | SM/18-19/1604 07/09/2018 | Serial | 025 |
| Patient Name | Mrs. PARUL JANA | Contact No | |
| Address | TARAKESWAR | Age | 70 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||