Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00786 | Date 22/01/2020 |
| Token No | SM/19-20/1738 22/01/2020 | Serial | 018 |
| Patient Name | Mr. BITTU SINGH | Contact No | 9123844428 |
| Address | 43/27/A/3 GURU GARDEN ROAD PRABASHNAGAR 712249 | Age | 21 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||