Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00718 | Date 14/09/2018 |
| Token No | SM/18-19/961 14/09/2018 | Serial | 013 |
| Patient Name | Miss DOLLY BANIK | Contact No | 8013990548 |
| Address | MAHESH | Age | 21 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/70 mmHg | Weight | 53 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||