Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 03668 | Date 03/01/2020 |
| Token No | SM/19-20/8221 03/01/2020 | Serial | 019 |
| Patient Name | Mr. BAPPA RAJBHAR | Contact No | 7008596480 |
| Address | PRAVAS NAGAR | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||