Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 04013 | Date 24/08/2020 |
| Token No | SM/19-20/8849 24/08/2020 | Serial | 008 |
| Patient Name | Mr. CHANDAN SINGH | Contact No | 9903288631 |
| Address | 25 BORAL BAGAN LANE | Age | 27 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||