Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08052 | Date 28/12/2022 |
| Token No | SM/22-23/7230 28/12/2022 | Serial | 027 |
| Patient Name | Master HIMANGSU RAM | Contact No | NOT GIVEN |
| Address | 7 dey ghat lane | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||