Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00881 | Date 03/09/2018 |
| Token No | SM/18-19/1153 03/09/2018 | Serial | 012 |
| Patient Name | Mrs. ALOKLATA DHAR | Contact No | |
| Address | CHATRA | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/86 mmHg | Weight | 72 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||