Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02541 | Date 22/07/2019 |
| Token No | SM/18-19/4949 22/07/2019 | Serial | 042 |
| Patient Name | Baby SUMAN KUMARI | Contact No | NOT GIVEN |
| Address | DEY GAT LANE | Age | 20 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||