Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09647 | Date 17/07/2023 |
| Token No | SM/22-23/10949 17/07/2023 | Serial | 032 |
| Patient Name | Mr. ASSHI RAJBHAR | Contact No | 8597555006 |
| Address | 22 L B S ROAD | Age | 14 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||