Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00585 | Date 20/12/2019 |
| Token No | SM/19-20/1190 20/12/2019 | Serial | 006 |
| Patient Name | Master ARVIND PRASAD | Contact No | 6289185662 |
| Address | HINDI SCHOOL NAYABASTI SERAMPORE | Age | 6 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 16 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||