Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 02937 | Date 30/08/2019 |
| Token No | SM/18-19/6049 30/08/2019 | Serial | 032 |
| Patient Name | Miss SHRUTI RAUTH | Contact No | NOT GIVEN |
| Address | K M SHA STYREET | Age | 58 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||