Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10195 | Date 29/08/2023 |
| Token No | SM/22-23/12071 29/08/2023 | Serial | 004 |
| Patient Name | Master PREM KR PRADHAN | Contact No | 8017111768 |
| Address | INDIAN JUIT MEAL | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||