Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 00943 | Date 24/09/2018 |
| Token No | SM/18-19/1224 24/09/2018 | Serial | 003 |
| Patient Name | Miss AYUSHI JANA | Contact No | NOT GIVEN |
| Address | NEHRU NAGAR COLONY | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/68 mmHg | Weight | 58 KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||