Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06545 | Date 29/07/2022 |
| Token No | SM/22-23/4172 29/07/2022 | Serial | 001 |
| Patient Name | Master ANKUSH PASWAN | Contact No | 8013389740 |
| Address | 20 BOSEPARA | Age | 5 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||