Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08763 | Date 12/04/2023 |
| Token No | SM/22-23/8898 12/04/2023 | Serial | 012 |
| Patient Name | Master ARABH PATWA | Contact No | 6291570436 |
| Address | 1 RAJMOHAN GOSWAMI LANE | Age | 1 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||