Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00324 | Date 01/11/2019 |
| Token No | SM/19-20/850 25/11/2019 | Serial | 036 |
| Patient Name | Miss KARISMA KUMARI RABIDAS | Contact No | |
| Address | HARIJAN BASTI PRABASHNAGAR | Age | 9 Female |
| Token For | Visit Doctor,Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||