Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03722 | Date 08/01/2020 |
| Token No | SM/19-20/8317 08/01/2020 | Serial | 012 |
| Patient Name | Mr. SURAJ THAKUR | Contact No | 9433668740 |
| Address | INDIA JUTE MILL | Age | 65 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||