Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10632 | Date 03/10/2023 |
| Token No | SM/22-23/12923 04/10/2023 | Serial | 002 |
| Patient Name | Master SUBHAM RAJBHAR.. | Contact No | 7439727812 |
| Address | 80/A/2 DEY STREET | Age | 3 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||