Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00890 | Date 03/09/2018 |
| Token No | SM/18-19/1169 03/09/2018 | Serial | 028 |
| Patient Name | Mrs. SABITRI HAZRA | Contact No | |
| Address | CHATRA | Age | 59 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/80 mmHg | Weight | 77 KG |
| Pulse Rate | 92 / min | Height | cm |
| Diagnosis | |||