Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 00923 | Date 10/09/2018 |
| Token No | SM/18-19/1204 10/09/2018 | Serial | 013 |
| Patient Name | Mrs. SAMITA SANTRA | Contact No | |
| Address | 65 NO NEHERU NAGAR COLONY | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/78 mmHg | Weight | 59 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||