Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 01717 | Date 26/02/2019 |
| Token No | SM/18-19/2603 26/02/2019 | Serial | 015 |
| Patient Name | Master ROHAN HUSAIN | Contact No | 9088055787 |
| Address | 16 K.M SHA ST | Age | 8 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||