Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00947 | Date 24/09/2018 |
| Token No | SM/18-19/1228 24/09/2018 | Serial | 007 |
| Patient Name | Mrs. MALATI SAHA | Contact No | 7496513875 |
| Address | PANCHANAN TALA LANE | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/78 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||