Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00952 | Date 24/09/2018 |
| Token No | SM/18-19/1233 24/09/2018 | Serial | 012 |
| Patient Name | Mrs. SANTANA GHATAK | Contact No | 7694323697 |
| Address | KASHI DOCTOR LANE | Age | 60 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/78 mmHg | Weight | KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||