Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01170 | Date 13/03/2020 |
| Token No | SM/19-20/3046 13/03/2020 | Serial | 024 |
| Patient Name | Baby KANCHA YADAV | Contact No | 9073830526 |
| Address | CHAKLAPARA PRABASHNAGAR SERAMPORE 712249 | Age | 7 Female |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 18 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||