Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07393 | Date 25/10/2022 |
| Token No | SM/22-23/5783 25/10/2022 | Serial | 011 |
| Patient Name | Master SUBHANKAR PADIYALI | Contact No | 8777349469 |
| Address | 7 NO LINE | Age | 11 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||