Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00777 | Date 22/09/2018 |
| Token No | SM/18-19/1039 22/09/2018 | Serial | 019 |
| Patient Name | Miss CHANDRA BAIRAGI | Contact No | 7006235894 |
| Address | DAKTAR LANE | Age | 23 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 49 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||