Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08436 | Date 23/02/2023 |
| Token No | SM/22-23/8040 23/02/2023 | Serial | 009 |
| Patient Name | Mr. BINIT SINGH | Contact No | 8100513179 |
| Address | 17 K D B LANE | Age | 13 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||