Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00017 | Date 02/08/2018 |
| Token No | SM/18-19/17 02/08/2018 | Serial | 016 |
| Patient Name | Mrs. ALOKA MUKHERJEE | Contact No | 7044759374 |
| Address | THAKUR BATI STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/65 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||