Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00171 | Date 18/08/2018 |
| Token No | SM/18-19/180 18/08/2018 | Serial | 016 |
| Patient Name | Mrs. NANDINI PRADHAN | Contact No | NOT GIVEN |
| Address | 3 DEY GHAT LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 42 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||