Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08119 | Date 05/01/2023 |
| Token No | SM/22-23/7378 05/01/2023 | Serial | 013 |
| Patient Name | Mr. PRIYANKSHU MAJHI | Contact No | NOT GIVEN |
| Address | DEY STREET | Age | 7 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||