Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01507 | Date 22/12/2018 |
| Token No | SM/18-19/2132 22/12/2018 | Serial | 009 |
| Patient Name | Miss BANISIKHA KOLEY | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 44 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||