Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03233 | Date 18/10/2019 |
| Token No | SM/18-19/7137 23/10/2019 | Serial | 008 |
| Patient Name | Mrs. LAXMI BANGA | Contact No | 7980825462 |
| Address | 584/A G.T.ROAD MANIKTALA | Age | 66 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||