Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01863 | Date 04/04/2019 |
| Token No | SM/18-19/3058 04/04/2019 | Serial | 033 |
| Patient Name | Mrs. CHANDRANI DAS | Contact No | NOT GIVEN |
| Address | 16 A.B GARDEN LANE | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||