Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03677 | Date 06/01/2020 |
| Token No | SM/19-20/8239 06/01/2020 | Serial | 008 |
| Patient Name | Mrs. BABY NATH | Contact No | 9433685089 |
| Address | THAKUR BATI STREET | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||