Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00745 | Date 19/09/2018 |
| Token No | SM/18-19/998 19/09/2018 | Serial | 008 |
| Patient Name | Mrs. JAMUNA SINGH | Contact No | |
| Address | MANIKTALA | Age | 64 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 130/90 mmHg | Weight | 50 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||