Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00170 | Date 18/08/2018 |
| Token No | SM/18-19/178 18/08/2018 | Serial | 014 |
| Patient Name | Mrs. DUKKHI BISWAL | Contact No | 7003521703 |
| Address | 10,DEY GHAT LANE | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 170/90 mmHg | Weight | 84 KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||