Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00252 | Date 24/08/2018 |
| Token No | SM/18-19/272 24/08/2018 | Serial | 009 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | |
| Address | Age | 26 YRS Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 170/80 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||