Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00419 | Date 30/08/2018 |
| Token No | SM/18-19/479 30/08/2018 | Serial | 025 |
| Patient Name | Mrs. ALOKA DAS | Contact No | |
| Address | CHATTEJEE LANE | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||