Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01374 | Date 18/12/2018 |
| Token No | SM/18-19/1980 18/12/2018 | Serial | 006 |
| Patient Name | Mrs. MUKTA ROY | Contact No | |
| Address | DEY GHAT LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/84 mmHg | Weight | 57 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||