Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00893 | Date 10/09/2018 |
| Token No | SM/18-19/1172 10/09/2018 | Serial | 001 |
| Patient Name | Miss TITHI ROY | Contact No | 7890456201 |
| Address | CHATRA | Age | 22 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||