Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 09955 | Date 14/08/2023 |
| Token No | SM/22-23/11596 14/08/2023 | Serial | 006 |
| Patient Name | Master RAUNAK GIRI | Contact No | 8420593743 |
| Address | JHAUTALA | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||