Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00884 | Date 03/09/2018 |
| Token No | SM/18-19/1156 03/09/2018 | Serial | 015 |
| Patient Name | Miss DEBOLINA MAHAPATRA | Contact No | 9007845966 |
| Address | CHATRA | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 108/70 mmHg | Weight | 47 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||