Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 12270 | Date 26/10/2024 |
| Token No | SM/24-25/19459 26/10/2024 | Serial | 004 |
| Patient Name | Master ASUTOSH KUMAR RAY | Contact No | 9748609318 |
| Address | RAM SITA LANE | Age | 10 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||