Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00625 | Date 06/09/2018 |
| Token No | SM/18-19/764 06/09/2018 | Serial | 002 |
| Patient Name | Mrs. ANUPAMA DAS | Contact No | |
| Address | Age | 50 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||