Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07041 | Date 15/09/2022 |
| Token No | SM/22-23/12969 05/10/2023 | Serial | 015 |
| Patient Name | Master ADVIK PRASAD | Contact No | 8505580381 |
| Address | 45/A PANCHANAN TALA LANE | Age | 2 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||