Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10796 | Date 22/11/2023 |
| Token No | SM/22-23/13341 22/11/2023 | Serial | 016 |
| Patient Name | Mr. SACHIN SHA | Contact No | NOT GIVEN |
| Address | DEY GHAT LANE | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||