Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 02281 | Date 17/06/2019 |
| Token No | SM/18-19/4215 17/06/2019 | Serial | 007 |
| Patient Name | Mr. ABID HUSSAIN | Contact No | NOT GIVEN |
| Address | 16 K M SHA ST | Age | 60 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||