Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00375 | Date 13/08/2018 |
| Token No | SM/18-19/487 14/08/2018 | Serial | 001 |
| Patient Name | Mrs. ASHA DEVI | Contact No | |
| Address | Age | 60 Female | |
| Token For | Medicine, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 90 / min | Height | cm |
| Diagnosis | |||