Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00919 | Date 10/09/2018 |
| Token No | SM/18-19/1200 10/09/2018 | Serial | 009 |
| Patient Name | Mr. SURESH SINGH | Contact No | |
| Address | DEY STREET | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 122/78 mmHg | Weight | 58 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||