Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 03538 | Date 03/12/2019 |
| Token No | SM/19-20/7845 03/12/2019 | Serial | 013 |
| Patient Name | Miss ARTI KUMARI | Contact No | 9708670679 |
| Address | RAM SITA LINE | Age | 14 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||