Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 00953 | Date 24/09/2018 |
| Token No | SM/18-19/1234 24/09/2018 | Serial | 013 |
| Patient Name | Mrs. RESHMI DEY | Contact No | |
| Address | MANIKTALA, THAKUR BATI STREET | Age | 35 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||