Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 02443 | Date 09/07/2019 |
| Token No | SM/18-19/6044 30/08/2019 | Serial | 027 |
| Patient Name | Mr. SANTOSH SAH | Contact No | 9339646969 |
| Address | 6 RAM SITA LANE | Age | 39 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||