Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00688 | Date 13/09/2018 |
| Token No | SM/18-19/925 13/09/2018 | Serial | 014 |
| Patient Name | Miss TINNI PRADHAN | Contact No | |
| Address | JUTE MILL LINE | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 97/72 mmHg | Weight | 44 KG |
| Pulse Rate | 66 / min | Height | cm |
| Diagnosis | |||