Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02491 | Date 18/07/2019 |
| Token No | SM/18-19/4835 18/07/2019 | Serial | 013 |
| Patient Name | Master ADITYA PRASAD | Contact No | 8910277257 |
| Address | 3 DEY GHAT LANE | Age | 12 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||