Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07391 | Date 25/10/2022 |
| Token No | SM/22-23/5781 25/10/2022 | Serial | 009 |
| Patient Name | Master ROHAN RAM | Contact No | NOT GIVEN |
| Address | 4 DEY GHAT LANE | Age | 6 MONTHS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||