Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00446 | Date 14/08/2018 |
| Token No | SM/18-19/510 14/08/2018 | Serial | 024 |
| Patient Name | Mr. FAKIR CHAND | Contact No | |
| Address | Age | 43 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 126/72 mmHg | Weight | 70 KG |
| Pulse Rate | 68 / min | Height | cm |
| Diagnosis | |||