Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00313 | Date 28/08/2018 |
| Token No | SM/18-19/854 11/09/2018 | Serial | 009 |
| Patient Name | Mrs. JAYANTI DEY | Contact No | 8910576668 |
| Address | DEY STREET | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 166/90 mmHg | Weight | 77 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||