Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00766 | Date 22/09/2018 |
| Token No | SM/18-19/1028 22/09/2018 | Serial | 008 |
| Patient Name | Miss PAPIYA JANA | Contact No | 7005264984 |
| Address | CHATRA | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 48 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||