Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00175 | Date 18/08/2018 |
| Token No | SM/18-19/184 18/08/2018 | Serial | 020 |
| Patient Name | Mrs. JIYARA DEVI | Contact No | |
| Address | SERAMPORE | Age | 54 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 52 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||