Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00097 | Date 06/08/2018 |
| Token No | SM/18-19/1161 03/09/2018 | Serial | 020 |
| Patient Name | Mrs. KUNTALA BISWAL | Contact No | 9836010315 |
| Address | 9,INDIAN JUTE MILL | Age | 60 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/88 mmHg | Weight | 58 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||