Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09551 | Date 05/07/2023 |
| Token No | SM/22-23/10655 05/07/2023 | Serial | 030 |
| Patient Name | Mr. SONU DAS | Contact No | 8478912709 |
| Address | 113 R.B. SARANI | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||