Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00124 | Date 07/08/2018 |
| Token No | SM/18-19/1096 15/09/2018 | Serial | 016 |
| Patient Name | Mr. SUNIL AGARWAL | Contact No | |
| Address | R B SARANI | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/82 mmHg | Weight | 63 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||