Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11117 | Date 08/02/2024 |
| Token No | SM/22-23/14680 08/02/2024 | Serial | 029 |
| Patient Name | Mr. SANI GUPTA | Contact No | 8100352992 |
| Address | 14D DEY STREET | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||