Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01489 | Date 20/12/2018 |
| Token No | SM/18-19/2107 20/12/2018 | Serial | 055 |
| Patient Name | Mrs. PRIYANKA ROY | Contact No | NOT GIVEN |
| Address | MANIK TALA | Age | 35 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 60 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||