Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 01935 | Date 18/04/2019 |
| Token No | SM/18-19/3276 18/04/2019 | Serial | 020 |
| Patient Name | Master RAHUL KUMAR | Contact No | NOT GIVEN |
| Address | 16 KAILASH CHATTERJEE LANE | Age | 1 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||