Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02550 | Date 19/07/2019 |
| Token No | SM/18-19/4967 19/07/2019 | Serial | 008 |
| Patient Name | Miss ROHINI KUMARI | Contact No | |
| Address | SERAMPORE | Age | 14 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||