Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00707 | Date 13/09/2018 |
| Token No | SM/18-19/944 13/09/2018 | Serial | 033 |
| Patient Name | Mrs. ANGURBALA SEN | Contact No | |
| Address | B.P DEY STREE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 59 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||