Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00565 | Date 17/12/2019 |
| Token No | SM/19-20/1148 17/12/2019 | Serial | 017 |
| Patient Name | Mr. KALINDA RAM | Contact No | |
| Address | NEW MAHESH PRABASHNAGAR | Age | 45 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||