Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 03341 | Date 07/11/2019 |
| Token No | SM/18-19/7313 07/11/2019 | Serial | 030 |
| Patient Name | Miss ACHAL PATWA | Contact No | 9748184774 |
| Address | 115 R B SARANI | Age | 16 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||