Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10019 | Date 18/08/2023 |
| Token No | SM/22-23/11730 18/08/2023 | Serial | 030 |
| Patient Name | Mr. PAWAN KUMAR | Contact No | 8582907296 |
| Address | 7 DEY GHAT LANE | Age | 10 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||