Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 05298 | Date 13/01/2022 |
| Token No | SM/22-23/9106 24/04/2023 | Serial | 041 |
| Patient Name | Mr. ASHISH KUMAR | Contact No | 8013111755 |
| Address | 79 DEY STREET | Age | 10 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||