Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01056 | Date 05/10/2018 |
| Token No | SM/18-19/1379 05/10/2018 | Serial | 020 |
| Patient Name | Baby HALIMA BEGUM | Contact No | |
| Address | Age | 19 YRS Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/74 mmHg | Weight | 52 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||