Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00664 | Date 11/09/2018 |
| Token No | SM/18-19/871 11/09/2018 | Serial | 002 |
| Patient Name | Mr. HYDAR ALI | Contact No | |
| Address | CHAMPA ROAD, RISHRA | Age | 82 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 110/72 mmHg | Weight | 49 KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||