Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 01404 | Date 13/04/2020 |
| Token No | SM/19-20/3754 13/04/2020 | Serial | 020 |
| Patient Name | Baby RUHI KUMAR | Contact No | 9748133870 |
| Address | NEW POST OFFICE PRABASHNAGAR 712249 | Age | 4 Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||