Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01013 | Date 18/02/2020 |
| Token No | SM/19-20/2400 18/02/2020 | Serial | 036 |
| Patient Name | Baby RADHIKA KUMARI | Contact No | |
| Address | PRABASHNAGAR | Age | 1 MONTH Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||