Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 12393 | Date 25/11/2024 |
| Token No | SM/24-25/19887 25/11/2024 | Serial | 033 |
| Patient Name | Mr. DR ROSHAN KUMAR | Contact No | 7991503944 |
| Address | 7 DEY GHAT LANE | Age | 15 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||