Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09960 | Date 14/08/2023 |
| Token No | SM/22-23/11604 14/08/2023 | Serial | 014 |
| Patient Name | Mr. KUMAR MAHERSHI BHAR | Contact No | 8902297332 |
| Address | 8C N K GUIN LANE | Age | 12 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||