Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01193 | Date 16/03/2020 |
| Token No | SM/19-20/3134 16/03/2020 | Serial | 034 |
| Patient Name | Baby POONAM SINGH | Contact No | 6289547998 |
| Address | 55/B GURU GARDEN ROAD PRABASHNAGAR | Age | 8 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 19 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||