Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 00899 | Date 10/09/2018 |
| Token No | SM/18-19/1179 10/09/2018 | Serial | 008 |
| Patient Name | Mr. SHIFER AHMED | Contact No | 8931102447 |
| Address | MANIKTALA | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 62 KG |
| Pulse Rate | 76 / min | Height | cm |
| Diagnosis | |||