Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11989 | Date 22/08/2024 |
| Token No | SM/24-25/18333 22/08/2024 | Serial | 002 |
| Patient Name | Mr. SHIB BARAT | Contact No | 9007474965 |
| Address | 14 HOSPITAL LANE | Age | 11 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||