Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00667 | Date 11/09/2018 |
| Token No | SM/18-19/874 11/09/2018 | Serial | 005 |
| Patient Name | Mrs. JAYLALITA DEBNATH | Contact No | |
| Address | MAHESH | Age | 52 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 59 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||