Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08290 | Date 08/02/2023 |
| Token No | SM/22-23/7748 08/02/2023 | Serial | 005 |
| Patient Name | Master RIAZ KUMAR | Contact No | 7278211319 |
| Address | 10 DOSTI LANE | Age | 3 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||