Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00023 | Date 03/08/2018 |
| Token No | SM/18-19/803 08/09/2018 | Serial | 012 |
| Patient Name | Mrs. SATYABATI PRADAHAN | Contact No | 9007258708 |
| Address | 45 N L BHATTACHARYA STREET | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||