Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00774 | Date 21/01/2020 |
| Token No | SM/19-20/3843 17/04/2020 | Serial | 017 |
| Patient Name | Mrs. ANITA DEVI | Contact No | 6289514151 |
| Address | GURU GARDEN ROAD PRABASHNAGAR | Age | 45 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | 160/90 mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||