Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00937 | Date 10/09/2018 |
| Token No | SM/18-19/6106 30/08/2019 | Serial | 004 |
| Patient Name | Mrs. SELI MONDAL | Contact No | 7477521086 |
| Address | BATTALA | Age | 41 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 124/84 mmHg | Weight | KG |
| Pulse Rate | 66 / min | Height | cm |
| Diagnosis | |||