Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02020 | Date 23/06/2022 |
| Token No | SM/22-23/783 23/06/2022 | Serial | 032 |
| Patient Name | Master AMAL RAM | Contact No | 8240928822 |
| Address | 881/12 S K NAGAR RISHRA M PRABASHNAGAR 712249 | Age | 5 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||