Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00659 | Date 11/09/2018 |
| Token No | SM/18-19/862 11/09/2018 | Serial | 017 |
| Patient Name | Mrs. SWAPNA GIRI | Contact No | 9477455615 |
| Address | VIKLLEGE POST ILAHIPURE, HPPGHLY | Age | 50 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 122/75 mmHg | Weight | KG |
| Pulse Rate | 67 / min | Height | cm |
| Diagnosis | |||