Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00471 | Date 27/11/2019 |
| Token No | SM/19-20/887 27/11/2019 | Serial | 003 |
| Patient Name | Master RAJIB TURIA | Contact No | 9062376957 |
| Address | MINIUS QUARTER | Age | 3 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 10 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||