Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 00740 | Date 17/01/2020 |
| Token No | SM/19-20/1605 17/01/2020 | Serial | 004 |
| Patient Name | Mr. GANESH SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 24 YRS Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||