Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 00349 | Date 29/08/2018 |
| Token No | SM/18-19/389 29/08/2018 | Serial | 026 |
| Patient Name | Mrs. NEHA DAS | Contact No | 9330392101 |
| Address | 22 PATUA PARA | Age | 18 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||