Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10168 | Date 28/08/2023 |
| Token No | SM/22-23/12032 28/08/2023 | Serial | 034 |
| Patient Name | Mr. PIYUSH SHA | Contact No | 6290979044 |
| Address | 27 A BAZAR Y LANE | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||