Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01377 | Date 18/12/2018 |
| Token No | SM/18-19/1983 18/12/2018 | Serial | 009 |
| Patient Name | Miss SONAM PARVEEN | Contact No | |
| Address | DEY GHAT LANE | Age | 18 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||