Ticket for Outdoor Patient
| Ward No. 18 | U-PHC No. | Registration No. 09974 | Date 16/08/2023 |
| Token No | SM/22-23/12024 28/08/2023 | Serial | 026 |
| Patient Name | Mr. HEMANTA HELA | Contact No | 8697302293 |
| Address | NEHERU NAGAR COLONY | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||