Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00800 | Date 22/09/2018 |
| Token No | SM/18-19/1062 22/09/2018 | Serial | 042 |
| Patient Name | Mrs. MAMTAJ BEGUM | Contact No | |
| Address | MANIKTALA | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 54 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||