Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00432 | Date 14/08/2018 |
| Token No | SM/18-19/494 14/08/2018 | Serial | 008 |
| Patient Name | Mrs. JAHANARA BEGUM | Contact No | |
| Address | MANIKTALA | Age | 56 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||