Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00671 | Date 11/09/2018 |
| Token No | SM/18-19/878 11/09/2018 | Serial | 009 |
| Patient Name | Mrs. ANKITA NAHA | Contact No | 8985255665 |
| Address | KHATIRBAZAR | Age | 40 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||