Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01142 | Date 12/10/2018 |
| Token No | SM/18-19/1536 12/10/2018 | Serial | 009 |
| Patient Name | Mrs. REKHA DAWAN | Contact No | 7605852721 |
| Address | A.B GARDEN LANE | Age | 46 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||