Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00952 | Date 14/02/2020 |
| Token No | SM/19-20/2413 19/02/2020 | Serial | 003 |
| Patient Name | Mrs. ARATI LAUHA | Contact No | 9883131086 |
| Address | 43/32/B/5 GURU GARDEN LANE PRAVASNAGAR 712249 | Age | 82 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||