Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 03991 | Date 12/08/2020 |
| Token No | SM/19-20/8819 12/08/2020 | Serial | 001 |
| Patient Name | Mrs. SITA SONKAR | Contact No | 6289978082 |
| Address | 40/B B.L.C,MILL ROAD, MAHESH | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||