Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03661 | Date 03/01/2020 |
| Token No | SM/19-20/8212 03/01/2020 | Serial | 010 |
| Patient Name | Mrs. SAHANARI BIBI | Contact No | NOT GIVEN |
| Address | THAKUR BATI STREET | Age | 50 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||