Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00097 | Date 06/08/2018 |
| Token No | SM/18-19/1352 04/10/2018 | Serial | 011 |
| Patient Name | Mrs. KUNTALA BISWAL | Contact No | 9836010315 |
| Address | 9,INDIAN JUTE MILL | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 62 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||