Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00156 | Date 08/08/2018 |
| Token No | SM/18-19/164 08/08/2018 | Serial | 030 |
| Patient Name | Miss ANTARA DAS | Contact No | |
| Address | DEY STREET | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/74 mmHg | Weight | 42 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||