Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02935 | Date 30/08/2019 |
| Token No | SM/18-19/6047 30/08/2019 | Serial | 030 |
| Patient Name | Mrs. BAISHNABI RAO | Contact No | 8956258001 |
| Address | RAM SITA LANE SAERAMPORE | Age | 59 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||