Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01870 | Date 04/04/2019 |
| Token No | SM/18-19/3067 04/04/2019 | Serial | 042 |
| Patient Name | Mrs. FULMANI DEVI | Contact No | |
| Address | Age | 50 Female | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||