Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 06469 | Date 25/07/2022 |
| Token No | SM/22-23/4034 25/07/2022 | Serial | 026 |
| Patient Name | Master AVIMANYU PAL | Contact No | 8956895881 |
| Address | PRAVAS NAGAR | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||