Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00122 | Date 07/08/2018 |
| Token No | SM/18-19/127 07/08/2018 | Serial | 023 |
| Patient Name | Mrs. KAMLA SAHA | Contact No | 84 |
| Address | NABA KRISHNA GUI LANE | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/86 mmHg | Weight | KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||