Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 01600 | Date 20/05/2022 |
| Token No | SM/22-23/12 20/05/2022 | Serial | 010 |
| Patient Name | Baby PARI SHAW | Contact No | 9330460507 |
| Address | NAYA BASTI RISHRA | Age | 3 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 14 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||