Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10139 | Date 25/08/2023 |
| Token No | SM/22-23/11975 25/08/2023 | Serial | 017 |
| Patient Name | Mr. SWASTIK PANDEY | Contact No | 7980258310 |
| Address | 10 CHATTERJEE LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||