Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 11895 | Date 05/08/2024 |
| Token No | SM/24-25/17928 05/08/2024 | Serial | 030 |
| Patient Name | Master LAKKHI MAHATO | Contact No | 9062250186 |
| Address | 8 DEY STREET | Age | 9 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||