Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10780 | Date 16/11/2023 |
| Token No | SM/22-23/13303 16/11/2023 | Serial | 004 |
| Patient Name | Mr. PRAKASH KUMAR | Contact No | 9328072491 |
| Address | 86 DEY STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||