Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00556 | Date 31/08/2018 |
| Token No | SM/18-19/653 31/08/2018 | Serial | 032 |
| Patient Name | Mrs. K.SUSMITA | Contact No | |
| Address | Age | 21 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/80 mmHg | Weight | 52 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||