Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01396 | Date 18/12/2018 |
| Token No | SM/18-19/2003 18/12/2018 | Serial | 029 |
| Patient Name | Mrs. JASMIN BIBI | Contact No | |
| Address | Age | 30 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/84 mmHg | Weight | 58 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||