Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00843 | Date 12/09/2018 |
| Token No | SM/18-19/1115 12/09/2018 | Serial | 005 |
| Patient Name | Mr. IDRISH ALI | Contact No | |
| Address | THAKUR BATI STREET | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/90 mmHg | Weight | 58 KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||