Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10050 | Date 21/08/2023 |
| Token No | SM/22-23/11794 21/08/2023 | Serial | 029 |
| Patient Name | Mr. ADITYA PRASAD | Contact No | 7596827208 |
| Address | TIN BAZAR | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||