Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00792 | Date 22/09/2018 |
| Token No | SM/18-19/1054 22/09/2018 | Serial | 034 |
| Patient Name | Mrs. BARNALI MAHATO | Contact No | 7477654891 |
| Address | BATTALA | Age | 26 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 70 KG |
| Pulse Rate | 84 / min | Height | cm |
| Diagnosis | |||