Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00231 | Date 25/08/2018 |
| Token No | SM/18-19/249 25/08/2018 | Serial | 019 |
| Patient Name | Mrs. PRAVA BISWAL | Contact No | |
| Address | SERAMPORE | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/74 mmHg | Weight | 58 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||