Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02028 | Date 03/05/2019 |
| Token No | SM/18-19/3538 03/05/2019 | Serial | 016 |
| Patient Name | Mrs. LAXMI OJHA | Contact No | NOT GIVEN |
| Address | 12 NO. LINE | Age | 41 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||