Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08044 | Date 28/12/2022 |
| Token No | SM/22-23/7214 28/12/2022 | Serial | 011 |
| Patient Name | Mr. ADITYA KOIRI | Contact No | 9433329294 |
| Address | 14/B DR K D B LANE | Age | 5yrs 6 months Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||