Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00216 | Date 25/08/2018 |
| Token No | SM/18-19/233 25/08/2018 | Serial | 003 |
| Patient Name | Mr. NIRANJAN BISWAL | Contact No | |
| Address | PAL BAGAN | Age | 43 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 148/90 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||