Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04263 | Date 01/06/2023 |
| Token No | SM/22-23/9230 01/06/2023 | Serial | 014 |
| Patient Name | Mr. RABI SHARMA | Contact No | 7890264514 |
| Address | 1223 SK NAGAR RISHRA M SERAMPORE 712249 | Age | 6 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||