Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08991 | Date 10/05/2023 |
| Token No | SM/22-23/9457 10/05/2023 | Serial | 017 |
| Patient Name | Mr. UJJAL METE | Contact No | NOT GIVEN |
| Address | MANIKTALA, 11 A B GARDEN LANE | Age | 16 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||