Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00194 | Date 17/08/2018 |
| Token No | SM/18-19/792 08/09/2018 | Serial | 001 |
| Patient Name | Mrs. SUSMITA SARKAR | Contact No | 8017789968 |
| Address | 3/2 K.C MUKHERJEE STREET | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||