Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00085 | Date 06/08/2018 |
| Token No | SM/18-19/1461 28/09/2018 | Serial | 010 |
| Patient Name | Mrs. MRIDULA KUNDU | Contact No | 8240187930 |
| Address | 584/A G.T ROAD MANIKTALA | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||