Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00968 | Date 25/09/2018 |
| Token No | SM/18-19/1255 25/09/2018 | Serial | 017 |
| Patient Name | Mrs. PADMA SASMOL | Contact No | 8657286074 |
| Address | 3 R R PANDIT LANE | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||