Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00951 | Date 24/09/2018 |
| Token No | SM/18-19/1232 24/09/2018 | Serial | 011 |
| Patient Name | Mrs. RITYA DAS | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/70 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||