Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 02542 | Date 22/07/2019 |
| Token No | SM/18-19/4950 22/07/2019 | Serial | 043 |
| Patient Name | Mrs. KUSUM DEVI | Contact No | 6290124437 |
| Address | 21 NEHERU NAGAR COLONY | Age | 37 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||