Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00467 | Date 14/08/2018 |
| Token No | SM/18-19/540 14/08/2018 | Serial | 054 |
| Patient Name | Mr. RAJU SHA | Contact No | |
| Address | Age | 34 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 136/72 mmHg | Weight | 52 KG |
| Pulse Rate | 69 / min | Height | cm |
| Diagnosis | |||