Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00164 | Date 18/08/2018 |
| Token No | SM/18-19/172 18/08/2018 | Serial | 008 |
| Patient Name | Mrs. NABIN DAS | Contact No | |
| Address | SERAMPORE | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||