Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07894 | Date 06/12/2022 |
| Token No | SM/22-23/6838 06/12/2022 | Serial | 015 |
| Patient Name | Master AYUSH KUMAR | Contact No | 9330841745 |
| Address | 1 DEY GHAT LANE | Age | 5 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||