Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00797 | Date 22/09/2018 |
| Token No | SM/18-19/1059 22/09/2018 | Serial | 039 |
| Patient Name | Mr. HARILAL CHAUHAN | Contact No | |
| Address | DEY STREET | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 132/90 mmHg | Weight | 68 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||