Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00033 | Date 03/08/2018 |
| Token No | SM/18-19/33 03/08/2018 | Serial | 014 |
| Patient Name | Mrs. TAGARI BHAR | Contact No | |
| Address | Age | 50 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 150/70 mmHg | Weight | KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||