Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 03998 | Date 13/08/2020 |
| Token No | SM/19-20/8827 13/08/2020 | Serial | 002 |
| Patient Name | Mrs. SONAM KUMARI | Contact No | 9433381345 |
| Address | 10 DOSTI LANE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||