Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00914 | Date 10/09/2018 |
| Token No | SM/18-19/1194 10/09/2018 | Serial | 003 |
| Patient Name | Mr. AYUSH SINGH | Contact No | |
| Address | CHATRA | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 118/78 mmHg | Weight | 55 KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||