Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00276 | Date 11/08/2018 |
| Token No | SM/18-19/1165 03/09/2018 | Serial | 024 |
| Patient Name | Mrs. RAKHI NANDI | Contact No | |
| Address | Age | 45 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 144/88 mmHg | Weight | 58 KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||