Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00257 | Date 24/08/2018 |
| Token No | SM/18-19/277 24/08/2018 | Serial | 014 |
| Patient Name | Mrs. SIMA DEVI | Contact No | NOT GIVEN |
| Address | 8 DEY STREET | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||