Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03449 | Date 21/11/2019 |
| Token No | SM/18-19/7585 21/11/2019 | Serial | 006 |
| Patient Name | Mr. PAWAN KUMAR SINGH | Contact No | 7003282065 |
| Address | 1 DEY GHAT LANE | Age | 23 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||