Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02531 | Date 22/07/2019 |
| Token No | SM/18-19/4923 22/07/2019 | Serial | 016 |
| Patient Name | Miss PRIYA KUMAR | Contact No | |
| Address | TIN BAZAR | Age | 24 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/60 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||