Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00479 | Date 20/08/2018 |
| Token No | SM/18-19/554 20/08/2018 | Serial | 001 |
| Patient Name | Mr. RAJU BISWAL | Contact No | |
| Address | Age | 23 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 110/60 mmHg | Weight | 55 KG |
| Pulse Rate | 64 / min | Height | cm |
| Diagnosis | |||