Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 08233 | Date 02/02/2023 |
| Token No | SM/22-23/7649 02/02/2023 | Serial | 018 |
| Patient Name | Master KISHAN ROUTH | Contact No | NOT GIVEN |
| Address | 15 L B S ROAD | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||