Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00032 | Date 03/08/2018 |
| Token No | SM/18-19/1437 09/10/2018 | Serial | 005 |
| Patient Name | Mrs. ANJU PRADHAN | Contact No | 8961448657 |
| Address | 45 DR N L BHATTACHARYA STREET | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 170/100 mmHg | Weight | 60 KG |
| Pulse Rate | 92 / min | Height | cm |
| Diagnosis | |||