Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00692 | Date 13/09/2018 |
| Token No | SM/18-19/929 13/09/2018 | Serial | 018 |
| Patient Name | Miss SHARMILA DAS | Contact No | |
| Address | SAKHERBAZAR | Age | 28 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/80 mmHg | Weight | 63 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||