Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10118 | Date 23/08/2023 |
| Token No | SM/22-23/11915 23/08/2023 | Serial | 037 |
| Patient Name | Mr. ARJUN CHAUHAN | Contact No | 9088675003 |
| Address | 12B PANDIT K. N. BHATTACHARYA STREET | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||