Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03380 | Date 14/11/2019 |
| Token No | SM/18-19/7399 14/11/2019 | Serial | 047 |
| Patient Name | Master ANUPAM PRASAD | Contact No | 9433128197 |
| Address | 3 DEY GHAT LANE | Age | 19 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||