Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00407 | Date 30/08/2018 |
| Token No | SM/18-19/546 14/08/2018 | Serial | 060 |
| Patient Name | Mrs. SANTI BISWAL | Contact No | 8100218312 |
| Address | DR N.L BHATTACHARYA ST | Age | 47 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 148/88 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||