Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01383 | Date 18/12/2018 |
| Token No | SM/18-19/1989 18/12/2018 | Serial | 015 |
| Patient Name | Mrs. REKHA SOREN | Contact No | |
| Address | INDIAN JUTE MILE | Age | 27 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 47 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||