Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02533 | Date 22/07/2019 |
| Token No | SM/18-19/4929 22/07/2019 | Serial | 022 |
| Patient Name | Mrs. PIYALI PAL | Contact No | |
| Address | NAIHATI | Age | 36 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||