Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00407 | Date 30/08/2018 |
| Token No | SM/18-19/464 30/08/2018 | Serial | 010 |
| Patient Name | Mrs. SANTI BISWAL | Contact No | 8100218312 |
| Address | DR N.L BHATTACHARYA ST | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/78 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||