Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07042 | Date 15/09/2022 |
| Token No | SM/22-23/5124 15/09/2022 | Serial | 005 |
| Patient Name | Master AYAN PRASAD | Contact No | 8274941168 |
| Address | 19 DOSTI LANE | Age | 2 years 6 month Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||