Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 02416 | Date 05/07/2019 |
| Token No | SM/18-19/4613 05/07/2019 | Serial | 021 |
| Patient Name | Master DEBRAJ BISWAL | Contact No | 8444872666 |
| Address | 10 K D B LANE | Age | 7 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||