Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00082 | Date 06/08/2018 |
| Token No | SM/18-19/1094 15/09/2018 | Serial | 014 |
| Patient Name | Mrs. MINAL BEGUM | Contact No | |
| Address | Age | 35 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/88 mmHg | Weight | 62 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||