Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 00956 | Date 24/09/2018 |
| Token No | SM/18-19/1237 24/09/2018 | Serial | 016 |
| Patient Name | Mrs. JUTHIKA NANDI | Contact No | 9674232477 |
| Address | 7/B PATUA PARA LANE | Age | 45 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/78 mmHg | Weight | KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||