Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00868 | Date 12/09/2018 |
| Token No | SM/18-19/1140 12/09/2018 | Serial | 030 |
| Patient Name | Mrs. KONIKA HATI | Contact No | |
| Address | CHATRA | Age | 30 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/76 mmHg | Weight | 57 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||