Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01190 | Date 07/09/2018 |
| Token No | SM/18-19/1605 07/09/2018 | Serial | 026 |
| Patient Name | Mr. RATAN KAHAR | Contact No | |
| Address | Age | 45 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/74 mmHg | Weight | KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||