Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01031 | Date 28/09/2018 |
| Token No | SM/18-19/1337 28/09/2018 | Serial | 027 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | |
| Address | PALBAGUN | Age | 65 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 48 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||