Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07338 | Date 19/10/2022 |
| Token No | SM/22-23/5679 19/10/2022 | Serial | 016 |
| Patient Name | Master ADITYA PASWAN | Contact No | NOT GIVEN |
| Address | SITAL SARKAR LANE | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||