Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10294 | Date 04/09/2023 |
| Token No | SM/22-23/12251 04/09/2023 | Serial | 035 |
| Patient Name | Master RITESH KUMAR RAY... | Contact No | 7250914557 |
| Address | RAM SITA LANE.. | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||