Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00840 | Date 12/09/2018 |
| Token No | SM/18-19/1111 12/09/2018 | Serial | 001 |
| Patient Name | Mr. AMIT JAISWARA | Contact No | |
| Address | HOSPITAL LANE | Age | 55 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 144/90 mmHg | Weight | 76 KG |
| Pulse Rate | 88 / min | Height | cm |
| Diagnosis | |||