Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00792 | Date 22/01/2020 |
| Token No | SM/19-20/1751 22/01/2020 | Serial | 031 |
| Patient Name | Mrs. PIU SINGH | Contact No | 9883462846 |
| Address | CHAKLAPARA PRABASHNAGAR 712249 | Age | 13 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||