Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00784 | Date 22/01/2020 |
| Token No | SM/19-20/1733 22/01/2020 | Serial | 013 |
| Patient Name | Mr. MOHAN SINGH | Contact No | 9036382154 |
| Address | PRABASHNAGAR | Age | 80 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||