Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00545 | Date 13/12/2019 |
| Token No | SM/19-20/1077 13/12/2019 | Serial | 003 |
| Patient Name | Mrs. ISHA KUMARI | Contact No | 8479971642 |
| Address | 32 NO S S ROAD RISHRA PRABASHNAGAR | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/85 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||