Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00778 | Date 21/01/2020 |
| Token No | SM/19-20/1711 21/01/2020 | Serial | 023 |
| Patient Name | Baby MADHU SHAW | Contact No | 7003180517 |
| Address | PROVASNAGER | Age | 6.5M Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | 7 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||