Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10403 | Date 14/09/2023 |
| Token No | SM/22-23/12488 14/09/2023 | Serial | 028 |
| Patient Name | Master ANKUSH PASWAN | Contact No | 8697506749 |
| Address | NMB IT KHOLA | Age | 6 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||