Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00799 | Date 22/09/2018 |
| Token No | SM/18-19/1061 22/09/2018 | Serial | 041 |
| Patient Name | Mrs. RITA DEWAN | Contact No | |
| Address | DEY STREET | Age | 38 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/70 mmHg | Weight | 58 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||