Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00791 | Date 22/09/2018 |
| Token No | SM/18-19/1053 22/09/2018 | Serial | 033 |
| Patient Name | Mrs. SHYAMALI PASWAN | Contact No | |
| Address | BATTALA | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/78 mmHg | Weight | 55 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||