Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02858 | Date 20/08/2019 |
| Token No | SM/18-19/5780 20/08/2019 | Serial | 048 |
| Patient Name | Mrs. SUNITI BISWAL | Contact No | 9088520025 |
| Address | K M SHA STREET | Age | 50 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||