Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01478 | Date 25/04/2020 |
| Token No | SM/19-20/3906 25/04/2020 | Serial | 003 |
| Patient Name | Mrs. SARADA SAROJ | Contact No | |
| Address | HARIJAN BASTI PRABASHNAGAR 712203 | Age | 60 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||