Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00666 | Date 11/09/2018 |
| Token No | SM/18-19/873 11/09/2018 | Serial | 004 |
| Patient Name | Miss KABERI BERA | Contact No | 9674658988 |
| Address | B P DEY STREET | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/68 mmHg | Weight | 43 KG |
| Pulse Rate | 58 / min | Height | cm |
| Diagnosis | |||