Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00687 | Date 13/09/2018 |
| Token No | SM/18-19/924 13/09/2018 | Serial | 013 |
| Patient Name | Mrs. SASHIKALA DEBI | Contact No | |
| Address | DEY STREET | Age | 74 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/88 mmHg | Weight | 72 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||