Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01211 | Date 07/09/2018 |
| Token No | SM/18-19/1626 07/09/2018 | Serial | 047 |
| Patient Name | Mr. RUDRA PANDIT | Contact No | |
| Address | Age | 42 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | 78 / min | Height | cm |
| Diagnosis | |||