Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01046 | Date 05/10/2018 |
| Token No | SM/18-19/1365 05/10/2018 | Serial | 006 |
| Patient Name | Mrs. KALPANA BAIRAGI | Contact No | NOT GIVEN |
| Address | ANNADA GARDEN LANE | Age | 63 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 200/90 mmHg | Weight | 83 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||