Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00838 | Date 15/09/2018 |
| Token No | SM/18-19/1109 15/09/2018 | Serial | 029 |
| Patient Name | Mrs. KALABATI JAISWAL | Contact No | |
| Address | LAHIRI PARA | Age | 59 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/90 mmHg | Weight | 59 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||