Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01079 | Date 26/02/2020 |
| Token No | SM/19-20/2604 26/02/2020 | Serial | 009 |
| Patient Name | Master RAJA THAKUR | Contact No | 8230876133 |
| Address | SARADA PALLY PRABASHNAGAR | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||