Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03471 | Date 22/11/2019 |
| Token No | SM/18-19/7660 22/11/2019 | Serial | 019 |
| Patient Name | Mr. NARESH SINGH | Contact No | 9433820909 |
| Address | 17 PAL BAGAN DOSTI LANE | Age | 67 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||