Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02755 | Date 07/08/2019 |
| Token No | SM/18-19/5488 07/08/2019 | Serial | 004 |
| Patient Name | Mr. CHANDAN SINGH | Contact No | 8777414049 |
| Address | 24 BOROBAGAN LANE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||