Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00620 | Date 21/08/2018 |
| Token No | SM/18-19/744 21/08/2018 | Serial | 026 |
| Patient Name | Mrs. BASANTI HALDAR | Contact No | |
| Address | Age | 56 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 136/78 mmHg | Weight | KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||