Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00680 | Date 13/09/2018 |
| Token No | SM/18-19/1316 28/09/2018 | Serial | 006 |
| Patient Name | Mr. SADANANDA BISWAL | Contact No | NOT GIVEN |
| Address | 41, INDIA JUTE MILL | Age | 75 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 57 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||