Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00132 | Date 08/08/2018 |
| Token No | SM/18-19/137 08/08/2018 | Serial | 003 |
| Patient Name | Mrs. KISHORI RAO | Contact No | |
| Address | Age | 35 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 45 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||