Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00720 | Date 14/09/2018 |
| Token No | SM/18-19/963 14/09/2018 | Serial | 015 |
| Patient Name | Mrs. PUSPA HAZRA | Contact No | |
| Address | CHATERJEE LANE | Age | 46 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/84 mmHg | Weight | 65 KG |
| Pulse Rate | 79 / min | Height | cm |
| Diagnosis | |||