Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00996 | Date 17/02/2020 |
| Token No | SM/19-20/2363 17/02/2020 | Serial | 058 |
| Patient Name | Mr. DINESH HARI | Contact No | |
| Address | 253 NEW MAHESH PRABASHNAGAR | Age | 30 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||