Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00835 | Date 15/09/2018 |
| Token No | SM/18-19/1106 15/09/2018 | Serial | 026 |
| Patient Name | Miss YAMI KHATUN | Contact No | |
| Address | K C BHATTACHARJEE STREET | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/66 mmHg | Weight | 42 KG |
| Pulse Rate | 60 / min | Height | cm |
| Diagnosis | |||