Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00917 | Date 10/09/2018 |
| Token No | SM/18-19/1198 10/09/2018 | Serial | 007 |
| Patient Name | Mrs. DEPALI KOTAL | Contact No | |
| Address | CHATRA | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 59 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||