Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05602 | Date 31/03/2022 |
| Token No | SM/21-22/2551 31/03/2022 | Serial | 006 |
| Patient Name | Master BIRU SINGH | Contact No | NOT GIVEN |
| Address | INDIA JUTE MILL | Age | 2 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||