Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06506 | Date 27/07/2022 |
| Token No | SM/22-23/4099 27/07/2022 | Serial | 001 |
| Patient Name | Master ARO KUMAR | Contact No | NOT GIVEN |
| Address | 12 NO LINE | Age | 4 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||