Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01395 | Date 18/12/2018 |
| Token No | SM/18-19/2002 18/12/2018 | Serial | 028 |
| Patient Name | Mrs. JAMUNA JANA | Contact No | |
| Address | Age | 60 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 51 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||