Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00743 | Date 19/09/2018 |
| Token No | SM/18-19/996 19/09/2018 | Serial | 006 |
| Patient Name | Miss AMRITA GHOSHAL | Contact No | 7007528964 |
| Address | DEY STREE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 42 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||