Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10912 | Date 11/12/2023 |
| Token No | SM/22-23/13668 11/12/2023 | Serial | 009 |
| Patient Name | Master SUSHANT KUMAR | Contact No | NOT GIVEN |
| Address | 7 INDIA JUTE MILL | Age | 4 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||