Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01385 | Date 18/12/2018 |
| Token No | SM/18-19/1991 18/12/2018 | Serial | 017 |
| Patient Name | Miss CHITALI BALI | Contact No | |
| Address | CHATTERJEE LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 44 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||