Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09814 | Date 31/07/2023 |
| Token No | SM/22-23/11270 31/07/2023 | Serial | 016 |
| Patient Name | Mr. JONATHAN | Contact No | 9563441416 |
| Address | DEY STREET | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||