Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00153 | Date 08/08/2018 |
| Token No | SM/18-19/1105 15/09/2018 | Serial | 025 |
| Patient Name | Mr. NARENDRA RAJBHAR | Contact No | |
| Address | Age | 60 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/90 mmHg | Weight | 61 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||