Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01027 | Date 28/09/2018 |
| Token No | SM/18-19/1333 28/09/2018 | Serial | 023 |
| Patient Name | Mrs. SANTI DULE | Contact No | NOT GIVEN |
| Address | 599 GT ROAD | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 132/86 mmHg | Weight | 57 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||