Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04038 | Date 22/09/2020 |
| Token No | SM/19-20/8906 22/09/2020 | Serial | 017 |
| Patient Name | Mrs. URMILA GUPTA | Contact No | 8276812843 |
| Address | 82 DEY STREET | Age | 40 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||