Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 01680 | Date 15/02/2019 |
| Token No | SM/18-19/2870 19/03/2019 | Serial | 004 |
| Patient Name | Mrs. NAMITA KUNDU | Contact No | 9748461778 |
| Address | 33 PANDIT KALINATH BHATTACHARYA STREET | Age | 66 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||