Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01072 | Date 05/10/2018 |
| Token No | SM/18-19/1397 05/10/2018 | Serial | 038 |
| Patient Name | Mrs. MUNMUN BHATT | Contact No | |
| Address | BATYTALA | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 123/78 mmHg | Weight | 58 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||