Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09363 | Date 15/06/2023 |
| Token No | SM/22-23/10243 15/06/2023 | Serial | 030 |
| Patient Name | Mr. ABHIJIT SINGH | Contact No | 9874408556 |
| Address | 52 DHULIPARA | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||