Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02861 | Date 20/08/2019 |
| Token No | SM/18-19/5783 20/08/2019 | Serial | 051 |
| Patient Name | Mrs. SHAMPA CHAKRABORTY | Contact No | 7005689520 |
| Address | BAT TALA | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/70 mmHg | Weight | 70 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||