Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00461 | Date 14/08/2018 |
| Token No | SM/18-19/531 14/08/2018 | Serial | 045 |
| Patient Name | Miss NANDINI BISWAL | Contact No | |
| Address | DEY STREET | Age | 7 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||