Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10548 | Date 27/09/2023 |
| Token No | SM/22-23/12741 27/09/2023 | Serial | 011 |
| Patient Name | Master ROHON RAM | Contact No | 8017621087 |
| Address | 4 DEY GHAT LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||