Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00818 | Date 27/01/2020 |
| Token No | SM/19-20/1842 27/01/2020 | Serial | 026 |
| Patient Name | Master ANSHU PRASAD | Contact No | |
| Address | MAA SARADA PALLY PRABASHNAGAR | Age | 55 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||