Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00950 | Date 24/09/2018 |
| Token No | SM/18-19/1231 24/09/2018 | Serial | 010 |
| Patient Name | Mrs. RUPA SAHA | Contact No | NOT GIVEN |
| Address | RUDRA RAM PANDIT LANE | Age | 21 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 90/60 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||