Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02983 | Date 04/09/2019 |
| Token No | SM/18-19/6209 04/09/2019 | Serial | 011 |
| Patient Name | Mrs. SONI SINGH | Contact No | 8240835957 |
| Address | J N LAHIRI ROAD | Age | 25 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||