Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02984 | Date 04/09/2019 |
| Token No | SM/18-19/6563 19/09/2019 | Serial | 023 |
| Patient Name | Mr. ISHWAR BISWAL | Contact No | 8697088466 |
| Address | 10 K D B LANE | Age | 42 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||