Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00888 | Date 03/09/2018 |
| Token No | SM/18-19/1167 03/09/2018 | Serial | 026 |
| Patient Name | Mrs. DIPA DAS | Contact No | |
| Address | MAHESH | Age | 32 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/68 mmHg | Weight | 49 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||