Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 01648 | Date 12/02/2019 |
| Token No | SM/18-19/2423 12/02/2019 | Serial | 019 |
| Patient Name | Mr. AMIT MALIK | Contact No | 7980128858 |
| Address | 11 A.B GARDEN LANE | Age | 36 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||