Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 00300 | Date 09/08/2018 |
| Token No | SM/18-19/1502 28/09/2018 | Serial | 051 |
| Patient Name | Mrs. PAPPU SINGH | Contact No | |
| Address | DEY ST | Age | 50 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||