Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00510 | Date 20/08/2018 |
| Token No | SM/18-19/593 20/08/2018 | Serial | 040 |
| Patient Name | Mr. JOY PRAKASH SHA | Contact No | 8334825772 |
| Address | 10,DEY STREET | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 74 / min | Height | cm |
| Diagnosis | |||