Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00174 | Date 18/08/2018 |
| Token No | SM/18-19/1586 07/09/2018 | Serial | 007 |
| Patient Name | Mr. RAJENDRA PRADHAN | Contact No | |
| Address | Age | 36 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/87 mmHg | Weight | 65 KG |
| Pulse Rate | 92 / min | Height | cm |
| Diagnosis | |||