Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08994 | Date 10/05/2023 |
| Token No | SM/22-23/9462 10/05/2023 | Serial | 022 |
| Patient Name | Master ARIYAN SINGH | Contact No | 7059161248 |
| Address | SINGHA GALI, KASHI DOCTOR LANE | Age | 3 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||