Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00239 | Date 24/09/2019 |
| Token No | SM/19-20/322 24/09/2019 | Serial | 031 |
| Patient Name | Mr. PIYUSH PASWAN | Contact No | 6289225272 |
| Address | 172 NEW MAHESH SERAMPORE 712203 | Age | 6 YRS Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||