Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01510 | Date 22/12/2018 |
| Token No | SM/22-23/14832 21/02/2024 | Serial | 001 |
| Patient Name | Mrs. SWAPNA BANERJEE | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 31 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||