Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00831 | Date 15/09/2018 |
| Token No | SM/18-19/1098 15/09/2018 | Serial | 018 |
| Patient Name | Master BINOD PRADHAN | Contact No | |
| Address | DEY GHAT LANE | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/66 mmHg | Weight | 46 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||