Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02860 | Date 20/08/2019 |
| Token No | SM/18-19/5782 20/08/2019 | Serial | 050 |
| Patient Name | Miss RAKSHA PATHAK | Contact No | 9685233302 |
| Address | 9 BECHU DEY LANE | Age | 19 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 45 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||