Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00990 | Date 27/09/2018 |
| Token No | SM/18-19/1289 27/09/2018 | Serial | 029 |
| Patient Name | Miss PIU RAJBANSHI | Contact No | |
| Address | CHATRA | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 44 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||