Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00894 | Date 10/09/2018 |
| Token No | SM/18-19/1173 10/09/2018 | Serial | 002 |
| Patient Name | Mrs. FALGUNI SOREN | Contact No | |
| Address | DAKDAR LANE | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/76 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||