Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03477 | Date 26/11/2019 |
| Token No | SM/19-20/7672 26/11/2019 | Serial | 001 |
| Patient Name | Mrs. RANJU SINGH | Contact No | 9088655501 |
| Address | RAM SITA LINE, INDIA JUTE MILL | Age | 31 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||