Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00918 | Date 10/09/2018 |
| Token No | SM/18-19/1199 10/09/2018 | Serial | 008 |
| Patient Name | Mrs. ALO JHA | Contact No | |
| Address | MANIKTALA | Age | 44 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/84 mmHg | Weight | 70 KG |
| Pulse Rate | 81 / min | Height | cm |
| Diagnosis | |||