Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00741 | Date 19/09/2018 |
| Token No | SM/18-19/994 19/09/2018 | Serial | 004 |
| Patient Name | Mrs. PROMILA DEBI | Contact No | 8609652345 |
| Address | PANCHANAN TALA | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 128/78 mmHg | Weight | 55 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||