Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00554 | Date 13/12/2019 |
| Token No | SM/19-20/1103 13/12/2019 | Serial | 029 |
| Patient Name | Mr. KARU TURIYA | Contact No | 9330761334 |
| Address | MINIUS QUARTER PRABASHNAGAR | Age | 18 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||