Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 00058 | Date 04/08/2018 |
| Token No | SM/18-19/58 04/08/2018 | Serial | 009 |
| Patient Name | Mrs. ASHA DEY | Contact No | 9830859740 |
| Address | THAKUR BATI STREET | Age | 52 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||