Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07964 | Date 16/12/2022 |
| Token No | SM/22-23/7028 16/12/2022 | Serial | 008 |
| Patient Name | Mr. RANVIR RAJBHAR | Contact No | 8777738705 |
| Address | 12 L B S ROAD | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||