Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00884 | Date 07/02/2020 |
| Token No | SM/19-20/2058 07/02/2020 | Serial | 023 |
| Patient Name | Mr. SURAJ GUPTA | Contact No | |
| Address | RISHRA PRABASHNAGAR | Age | 12 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 30 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||