Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01362 | Date 11/12/2018 |
| Token No | SM/18-19/1937 11/12/2018 | Serial | 025 |
| Patient Name | Mrs. RIKU KAR | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 72 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||