Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00066 | Date 09/09/2019 |
| Token No | SM/19-20/67 09/09/2019 | Serial | 024 |
| Patient Name | Mrs. ARTI DEVI | Contact No | 7596898048 |
| Address | GHORAMARA P MALLICKPARA SERAMPORE 712203 | Age | 36 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/82 mmHg | Weight | 56 KG |
| Pulse Rate | 88 / min | Height | 5.4 cm |
| Diagnosis | |||