Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 01131 | Date 05/03/2020 |
| Token No | SM/19-20/2852 05/03/2020 | Serial | 036 |
| Patient Name | Miss RANI SINGH | Contact No | 6290186340 |
| Address | 704 S K NAGAR PRABASHNAGAR RISHRA M 712249 | Age | 20 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||