Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08196 | Date 31/01/2023 |
| Token No | SM/22-23/12809 29/09/2023 | Serial | 009 |
| Patient Name | Mr. ANKUR KONAR | Contact No | 9735114551 |
| Address | jolkol | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||