Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04912 | Date 16/09/2021 |
| Token No | SM/24-25/15734 15/04/2024 | Serial | 015 |
| Patient Name | Mr. PRINCE MAJHI | Contact No | NOT GIVEN |
| Address | 80A DEY STREET | Age | 7 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||