Ticket for Outdoor Patient
| Ward No. 17 | U-PHC No. | Registration No. 03723 | Date 08/01/2020 |
| Token No | SM/19-20/8319 08/01/2020 | Serial | 014 |
| Patient Name | Mr. GOBINDO PANDIT | Contact No | 9864800250 |
| Address | THAKUR BATI STREET | Age | 53 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||