Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00662 | Date 11/09/2018 |
| Token No | SM/18-19/869 11/09/2018 | Serial | 024 |
| Patient Name | Mrs. INDIRA ROY | Contact No | NOT GIVEN |
| Address | CHATRA BOUBAZAR | Age | 57 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||