Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00144 | Date 08/08/2018 |
| Token No | SM/18-19/151 08/08/2018 | Serial | 017 |
| Patient Name | Mr. SHAMBHU PRADHAN | Contact No | |
| Address | Age | 61 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 170/90 mmHg | Weight | KG |
| Pulse Rate | 86 / min | Height | cm |
| Diagnosis | |||