Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08331 | Date 13/02/2023 |
| Token No | SM/22-23/7839 13/02/2023 | Serial | 005 |
| Patient Name | Mr. MITHUN PARIYALI | Contact No | 9875676479 |
| Address | 6A DOSTI LANE | Age | 15 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||