Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04049 | Date 24/09/2020 |
| Token No | SM/19-20/8926 24/09/2020 | Serial | 019 |
| Patient Name | Master HIMANGSU PRASAD | Contact No | 9883670314 |
| Address | 3 DEY GHAT LANE | Age | 7 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||