Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01361 | Date 11/12/2018 |
| Token No | SM/18-19/1936 11/12/2018 | Serial | 024 |
| Patient Name | Mrs. GITA RANI JANA | Contact No | 9745862100 |
| Address | DEY STREET | Age | 55 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/75 mmHg | Weight | 58 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||