Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00665 | Date 11/09/2018 |
| Token No | SM/18-19/872 11/09/2018 | Serial | 003 |
| Patient Name | Mrs. SABITRI DEBNATH | Contact No | 9836585965 |
| Address | B P DEY STREET, SERAMPORE | Age | 62 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 62 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||