Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02015 | Date 02/05/2019 |
| Token No | SM/18-19/3501 02/05/2019 | Serial | 010 |
| Patient Name | Mr. ROHIT RAM | Contact No | 6290849432 |
| Address | 4 DEY GHAT LANE | Age | 16 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||