Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00991 | Date 27/09/2018 |
| Token No | SM/18-19/1291 27/09/2018 | Serial | 031 |
| Patient Name | Mrs. CHANDANA BAIRAGI | Contact No | |
| Address | MANIKTALA | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 55 KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||