Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09954 | Date 14/08/2023 |
| Token No | SM/22-23/11595 14/08/2023 | Serial | 005 |
| Patient Name | Master RIKI GIRI | Contact No | 8420593743 |
| Address | JHAUTALA | Age | 5 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||