Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 00527 | Date 30/08/2018 |
| Token No | SM/18-19/773 06/09/2018 | Serial | 011 |
| Patient Name | Mrs. SABITA PODDAR | Contact No | |
| Address | GANGULY BAGAN | Age | 59 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||