Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00560 | Date 31/08/2018 |
| Token No | SM/18-19/659 31/08/2018 | Serial | 038 |
| Patient Name | Mrs. DOLI BHATTACHERJEE | Contact No | |
| Address | Age | 42 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||