Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08194 | Date 31/01/2023 |
| Token No | SM/22-23/7565 31/01/2023 | Serial | 012 |
| Patient Name | Master BHIVAN DAS | Contact No | 7044237752 |
| Address | 39 AKHRA BATI LANE | Age | 2 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||