Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00473 | Date 14/08/2018 |
| Token No | SM/18-19/594 20/08/2018 | Serial | 041 |
| Patient Name | Mr. TRINATH BISWAL | Contact No | 8100218312 |
| Address | N L BHATTACHARYA ST | Age | 70 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 90/70 mmHg | Weight | KG |
| Pulse Rate | 62 / min | Height | cm |
| Diagnosis | |||