Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00155 | Date 08/08/2018 |
| Token No | SM/18-19/163 08/08/2018 | Serial | 029 |
| Patient Name | Mrs. MAMATA DAS | Contact No | |
| Address | Age | 45 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||