Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02859 | Date 20/08/2019 |
| Token No | SM/18-19/5781 20/08/2019 | Serial | 049 |
| Patient Name | Mrs. TAPASI SINHA | Contact No | 9800514362 |
| Address | RAY GHAT | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 49 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||