Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00019 | Date 02/08/2018 |
| Token No | SM/18-19/83 06/08/2018 | Serial | 010 |
| Patient Name | Mr. MANOJ SHA | Contact No | |
| Address | Age | 43 Male | |
| Token For | Medicine, | Charge | Free |
| B.P | 110/70 mmHg | Weight | KG |
| Pulse Rate | 77 / min | Height | cm |
| Diagnosis | |||