Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00372 | Date 14/11/2019 |
| Token No | SM/19-20/655 14/11/2019 | Serial | 028 |
| Patient Name | Mr. BIKASH JAISWAL | Contact No | |
| Address | PRABASHNAGAR | Age | 16 Male |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||