Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00830 | Date 15/09/2018 |
| Token No | SM/18-19/1095 15/09/2018 | Serial | 015 |
| Patient Name | Mr. TARUN KUMAR | Contact No | 9856858574 |
| Address | PAL BAGAN | Age | 44 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 122/66 mmHg | Weight | 51 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||