Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01004 | Date 27/09/2018 |
| Token No | SM/18-19/1305 27/09/2018 | Serial | 045 |
| Patient Name | Miss TRISHA DHALI | Contact No | 9336874512 |
| Address | MANIKTALA | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 47 KG |
| Pulse Rate | 71 / min | Height | cm |
| Diagnosis | |||