Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00880 | Date 03/09/2018 |
| Token No | SM/18-19/1152 03/09/2018 | Serial | 011 |
| Patient Name | Mrs. TANIMA DAS | Contact No | 9335684712 |
| Address | Age | 27 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 58 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||