Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01025 | Date 28/09/2018 |
| Token No | SM/18-19/1331 28/09/2018 | Serial | 021 |
| Patient Name | Mrs. PRIYA MANDI | Contact No | |
| Address | DEY GHAT LANE | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 60 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||