Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00706 | Date 13/09/2018 |
| Token No | SM/18-19/943 13/09/2018 | Serial | 032 |
| Patient Name | Mrs. DEBIKA SINGHA | Contact No | |
| Address | DEY STREE | Age | 31 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/75 mmHg | Weight | 60 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||