Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 01376 | Date 08/04/2020 |
| Token No | SM/19-20/3693 08/04/2020 | Serial | 005 |
| Patient Name | Mrs. PARBATI SINGH | Contact No | 8697136784 |
| Address | 2 NO RAIL GATE BANGUR PARK RISHRA 712248 | Age | 55 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 15 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||