Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00214 | Date 21/09/2019 |
| Token No | SM/19-20/3965 28/04/2020 | Serial | 015 |
| Patient Name | Mrs. SADHANA BHANDARI | Contact No | 6290253859 |
| Address | 65/25/29 MAHESH JANNAGAR ROAD PRABASHNAGAR 712249 | Age | 56 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||