Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08966 | Date 03/05/2023 |
| Token No | SM/22-23/9365 03/05/2023 | Serial | 028 |
| Patient Name | Master AKASH KUMAR | Contact No | NOT GIVEN |
| Address | 86 DEY STREET | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||