Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 00924 | Date 10/09/2018 |
| Token No | SM/18-19/1205 10/09/2018 | Serial | 014 |
| Patient Name | Miss KOTHAKOLI SINGH | Contact No | |
| Address | 65 NO NEHERU NAGAR COLONY | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 100/64 mmHg | Weight | 40 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||