Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08526 | Date 13/03/2023 |
| Token No | SM/22-23/8238 13/03/2023 | Serial | 021 |
| Patient Name | Master SUMIT RAM | Contact No | NOT GIVEN |
| Address | CHOTO BELU | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||