Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00837 | Date 15/09/2018 |
| Token No | SM/18-19/1108 15/09/2018 | Serial | 028 |
| Patient Name | Mrs. DEBI PRADHAN | Contact No | |
| Address | Age | 38 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/68 mmHg | Weight | 52 KG |
| Pulse Rate | 63 / min | Height | cm |
| Diagnosis | |||