Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 02113 | Date 27/05/2019 |
| Token No | SM/18-19/3805 27/05/2019 | Serial | 008 |
| Patient Name | Master SOCHIN KUMAR | Contact No | 7762892001 |
| Address | 14 J.N LAHIRI ROAD | Age | 3 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||