Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00832 | Date 15/09/2018 |
| Token No | SM/18-19/1099 15/09/2018 | Serial | 019 |
| Patient Name | Miss SULAGNA JANA | Contact No | |
| Address | PRAVASNAGAR | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 98/66 mmHg | Weight | 49 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||