Ticket for Outdoor Patient
| Ward No. | U-PHC No. | Registration No. 00009 | Date 02/08/2018 |
| Token No | SM/18-19/9 02/08/2018 | Serial | 008 |
| Patient Name | Mr. KANAI LAL TIWARI | Contact No | |
| Address | Age | 40 Male | |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 120/80 mmHg | Weight | KG |
| Pulse Rate | 80 / min | Height | cm |
| Diagnosis | |||