Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 02794 | Date 13/08/2019 |
| Token No | SM/18-19/5593 13/08/2019 | Serial | 018 |
| Patient Name | Mrs. PUJA VERMA | Contact No | 8626056706 |
| Address | 62 RAY LAND ROAD | Age | 24 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||