Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00995 | Date 27/09/2018 |
| Token No | SM/18-19/1295 27/09/2018 | Serial | 035 |
| Patient Name | Mrs. KAJALI HASDA | Contact No | 7890225143 |
| Address | BATTALA | Age | 37 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/82 mmHg | Weight | 61 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||