Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09804 | Date 28/07/2023 |
| Token No | SM/22-23/11248 28/07/2023 | Serial | 010 |
| Patient Name | Master ARYAN RAM | Contact No | 6291006226 |
| Address | 4 DEY GHAT LANE | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||