Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00567 | Date 17/12/2019 |
| Token No | SM/19-20/1164 17/12/2019 | Serial | 033 |
| Patient Name | Mrs. URMILA SINGH | Contact No | |
| Address | PRABASHNAGAR | Age | 27 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||