Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 00139 | Date 08/08/2018 |
| Token No | SM/18-19/145 08/08/2018 | Serial | 011 |
| Patient Name | Mrs. ASHA DEBI | Contact No | 8013280906 |
| Address | RAM SITA LANE | Age | 34 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/90 mmHg | Weight | 64 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||