Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00761 | Date 22/09/2018 |
| Token No | SM/18-19/1023 22/09/2018 | Serial | 003 |
| Patient Name | Mrs. ANJOLI KHAN | Contact No | 9093568247 |
| Address | DAKTAR LANE | Age | 43 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 124/80 mmHg | Weight | 55 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||