Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 02783 | Date 13/08/2019 |
| Token No | SM/18-19/5576 13/08/2019 | Serial | 001 |
| Patient Name | Mr. JUDHISTHIR PASWAN | Contact No | 9865897887 |
| Address | HOSPITAL LANE | Age | 56 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 150/80 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||