Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10286 | Date 04/09/2023 |
| Token No | SM/22-23/12235 04/09/2023 | Serial | 019 |
| Patient Name | Master MANAS JHA | Contact No | 8289381387 |
| Address | 104 R.B. SARANI | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||