Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00927 | Date 10/09/2018 |
| Token No | SM/18-19/1208 10/09/2018 | Serial | 017 |
| Patient Name | Mrs. ANUVA ROY | Contact No | |
| Address | MANIKTALA | Age | 55 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 53 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||