Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10571 | Date 28/09/2023 |
| Token No | SM/22-23/12793 28/09/2023 | Serial | 024 |
| Patient Name | Master RAJESH RAJBHAR | Contact No | 7003258734 |
| Address | 10 DEY STREET | Age | 8 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||