Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00194 | Date 17/08/2018 |
| Token No | SM/18-19/209 17/08/2018 | Serial | 013 |
| Patient Name | Mrs. SUSMITA SARKAR | Contact No | 8017789968 |
| Address | 3/2 K.C MUKHERJEE STREET | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | 78 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||