Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00828 | Date 15/09/2018 |
| Token No | SM/18-19/1090 15/09/2018 | Serial | 010 |
| Patient Name | Mr. YAKUB ALI | Contact No | |
| Address | HOSPITAL LANE | Age | 59 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 142/82 mmHg | Weight | 70 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||