Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04049 | Date 24/09/2020 |
| Token No | SM/22-23/5081 13/09/2022 | Serial | 007 |
| Patient Name | Master HIMANGSU PRASAD | Contact No | 9883670314 |
| Address | 3 DEY GHAT LANE | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||