Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01398 | Date 18/12/2018 |
| Token No | SM/18-19/2005 18/12/2018 | Serial | 031 |
| Patient Name | Mr. AKASH KHAN | Contact No | |
| Address | Age | 33 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/70 mmHg | Weight | 57 KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||