Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00636 | Date 07/09/2018 |
| Token No | SM/18-19/789 07/09/2018 | Serial | 005 |
| Patient Name | Mrs. RAJESWARI BISWAL | Contact No | 7003521703 |
| Address | 10 DEY GHAT LANE | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||