Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00098 | Date 06/08/2018 |
| Token No | SM/18-19/102 06/08/2018 | Serial | 029 |
| Patient Name | Mr. PRAKASH CHAND GUPTA | Contact No | |
| Address | PAL BAGAN | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 130/70 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||