Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08634 | Date 23/03/2023 |
| Token No | SM/22-23/8516 23/03/2023 | Serial | 027 |
| Patient Name | Master AYESH KUMAR SHA | Contact No | 8764825772 |
| Address | 10 DEY STREET | Age | 1 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||