Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 03369 | Date 14/11/2019 |
| Token No | SM/18-19/7428 15/11/2019 | Serial | 027 |
| Patient Name | Mr. RAUNAK KUMAR BHARTI | Contact No | 7044759374 |
| Address | 1 DEY GHAT LANE | Age | 6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||