Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03231 | Date 18/10/2019 |
| Token No | SM/19-20/8465 24/01/2020 | Serial | 007 |
| Patient Name | Mrs. JYOTSNA BAG | Contact No | 8273078703 |
| Address | 3 ANNADA BABU GARDEN LANE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||