Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 05415 | Date 11/02/2022 |
| Token No | SM/22-23/11060 20/07/2023 | Serial | 020 |
| Patient Name | Master ARYAN MAHATO | Contact No | 8777511709 |
| Address | 126 R.B. SARANI | Age | 5 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||