Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00992 | Date 27/09/2018 |
| Token No | SM/18-19/1292 27/09/2018 | Serial | 032 |
| Patient Name | Mrs. KAKOLI SINGHA | Contact No | |
| Address | DEY STREET | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||