Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06480 | Date 26/07/2022 |
| Token No | SM/22-23/4055 26/07/2022 | Serial | 005 |
| Patient Name | Master SAHEB BISWAL | Contact No | 9674325894 |
| Address | INDIA JUTE MILL | Age | 5 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||