Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01418 | Date 19/12/2018 |
| Token No | SM/18-19/2027 19/12/2018 | Serial | 010 |
| Patient Name | Miss PAPIYA MONDAL | Contact No | NOT GIVEN |
| Address | Age | 19 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 44 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||