Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09366 | Date 15/06/2023 |
| Token No | SM/22-23/10246 15/06/2023 | Serial | 033 |
| Patient Name | Mr. SHIVA MAHATO | Contact No | 9062250186 |
| Address | DEY STREET | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||