Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00973 | Date 25/09/2018 |
| Token No | SM/18-19/1327 28/09/2018 | Serial | 017 |
| Patient Name | Mr. RANJIT SINGH | Contact No | NOT GIVEN |
| Address | SHIB TALA LANE | Age | 54 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 138/96 mmHg | Weight | 65 KG |
| Pulse Rate | 82 / min | Height | cm |
| Diagnosis | |||