Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00447 | Date 14/08/2018 |
| Token No | SM/18-19/511 14/08/2018 | Serial | 025 |
| Patient Name | Mr. PRAVAT SWAIN | Contact No | |
| Address | Age | 57 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/74 mmHg | Weight | 68 KG |
| Pulse Rate | 70 / min | Height | cm |
| Diagnosis | |||