Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02164 | Date 03/06/2019 |
| Token No | SM/18-19/3936 03/06/2019 | Serial | 025 |
| Patient Name | Mrs. NIKITA VERMA | Contact No | 8777851230 |
| Address | MAHESH PHARI | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||