Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00607 | Date 21/08/2018 |
| Token No | SM/18-19/727 21/08/2018 | Serial | 009 |
| Patient Name | Miss TRISHA DAS | Contact No | |
| Address | Age | 28 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 120/70 mmHg | Weight | KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||