Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01147 | Date 04/09/2018 |
| Token No | SM/18-19/1546 04/09/2018 | Serial | 002 |
| Patient Name | Miss MANJIRA DAS | Contact No | |
| Address | Age | 18 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||