Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00710 | Date 13/09/2018 |
| Token No | SM/18-19/947 13/09/2018 | Serial | 036 |
| Patient Name | Mrs. CHAINA GHATI | Contact No | |
| Address | B.P.DEY STREE | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 56 KG |
| Pulse Rate | 79 / min | Height | cm |
| Diagnosis | |||