Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00882 | Date 03/09/2018 |
| Token No | SM/18-19/1154 03/09/2018 | Serial | 013 |
| Patient Name | Mrs. SIMRAN DEBI | Contact No | |
| Address | DEY STREET | Age | 33 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 49 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||