Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02541 | Date 22/07/2019 |
| Token No | SM/19-20/8862 26/08/2020 | Serial | 002 |
| Patient Name | Baby SUMAN KUMARI | Contact No | NOT GIVEN |
| Address | DEY GAT LANE | Age | 20 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||