Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00223 | Date 25/08/2018 |
| Token No | SM/18-19/240 25/08/2018 | Serial | 010 |
| Patient Name | Mrs. ANITA DEVI | Contact No | |
| Address | Age | 30 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 114/74 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||