Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01066 | Date 05/10/2018 |
| Token No | SM/18-19/1391 05/10/2018 | Serial | 032 |
| Patient Name | Mrs. ANAMIKA PASWAN | Contact No | |
| Address | DAKTAR LANE | Age | 25 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/74 mmHg | Weight | 63 KG |
| Pulse Rate | 73 / min | Height | cm |
| Diagnosis | |||