Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00803 | Date 22/09/2018 |
| Token No | SM/18-19/1065 22/09/2018 | Serial | 045 |
| Patient Name | Mrs. ROSENARA BIBI | Contact No | 9745582136 |
| Address | CHATRA | Age | 34 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/74 mmHg | Weight | 59 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||