Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00771 | Date 22/09/2018 |
| Token No | SM/18-19/1033 22/09/2018 | Serial | 013 |
| Patient Name | Mr. SALMAN AHAMED | Contact No | 8482654579 |
| Address | MANIKTALA | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 66 KG |
| Pulse Rate | 72 / min | Height | cm |
| Diagnosis | |||