Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00318 | Date 01/11/2019 |
| Token No | SM/19-20/511 01/11/2019 | Serial | 007 |
| Patient Name | Mr. DEBLAL SHARMA | Contact No | 9674974031 |
| Address | 100 NEW MAHESH KATAPOL | Age | 76 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||