Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05483 | Date 03/03/2022 |
| Token No | SM/21-22/2297 03/03/2022 | Serial | 003 |
| Patient Name | Mr. MANISH PRASAD | Contact No | 9433128197 |
| Address | 3 DEY GHAT LANE | Age | 14 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||