Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10046 | Date 21/08/2023 |
| Token No | SM/22-23/11788 21/08/2023 | Serial | 023 |
| Patient Name | Mr. ROHIT DAS | Contact No | 9748635271 |
| Address | JHAUTALA | Age | 13 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||