Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00815 | Date 21/09/2018 |
| Token No | SM/18-19/1077 21/09/2018 | Serial | 001 |
| Patient Name | Mrs. MANOSHI MULO | Contact No | |
| Address | 3 NO MUKHERJEE LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 40 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||