Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00872 | Date 03/09/2018 |
| Token No | SM/18-19/1144 03/09/2018 | Serial | 003 |
| Patient Name | Mrs. JONAKI DEWAN | Contact No | |
| Address | Age | 30 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/80 mmHg | Weight | 60 KG |
| Pulse Rate | 75 / min | Height | cm |
| Diagnosis | |||