Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03248 | Date 21/10/2019 |
| Token No | SM/18-19/7067 21/10/2019 | Serial | 034 |
| Patient Name | Mr. BABLU SINGH | Contact No | 9330718513 |
| Address | 6 RAM SITA LINE | Age | 24 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||