Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00726 | Date 14/09/2018 |
| Token No | SM/18-19/969 14/09/2018 | Serial | 021 |
| Patient Name | Mrs. LOTHIKA DHALI | Contact No | |
| Address | CHATTERJEE LANE | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/84 mmHg | Weight | 62 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||