Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10335 | Date 07/09/2023 |
| Token No | SM/22-23/12332 07/09/2023 | Serial | 025 |
| Patient Name | Master ADRSH KUMAR SHAW | Contact No | 9883200653 |
| Address | 52 PANCHANAN TALA | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||