Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00821 | Date 15/09/2018 |
| Token No | SM/18-19/1083 15/09/2018 | Serial | 003 |
| Patient Name | Mr. KARAN SETH | Contact No | |
| Address | RISHI BANKIM SARANI | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/78 mmHg | Weight | 42 KG |
| Pulse Rate | 66 / min | Height | cm |
| Diagnosis | |||