Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 11186 | Date 21/02/2024 |
| Token No | SM/22-23/14874 21/02/2024 | Serial | 043 |
| Patient Name | Mr. BADAL KUMAR | Contact No | 9748609318 |
| Address | 12 NO LINE | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||