Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03246 | Date 21/10/2019 |
| Token No | SM/18-19/7061 21/10/2019 | Serial | 028 |
| Patient Name | Mr. RUPESH KUMAR | Contact No | 8334825772 |
| Address | 84 DEY STREET | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||