Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00895 | Date 10/09/2018 |
| Token No | SM/18-19/1175 10/09/2018 | Serial | 004 |
| Patient Name | Mrs. RUDRANI DESHMUKH | Contact No | |
| Address | MANIKTALA | Age | 42 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/78 mmHg | Weight | 59 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||