Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00785 | Date 22/09/2018 |
| Token No | SM/18-19/1047 22/09/2018 | Serial | 027 |
| Patient Name | Mrs. KAJRI DEBI | Contact No | |
| Address | DAKTAR LANE | Age | 48 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/90 mmHg | Weight | 62 KG |
| Pulse Rate | 79 / min | Height | cm |
| Diagnosis | |||