Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 05385 | Date 03/02/2022 |
| Token No | SM/21-22/2086 03/02/2022 | Serial | 001 |
| Patient Name | Mr. TRIBHUWAN SINGH | Contact No | 9801435934 |
| Address | 14C DEY STREET | Age | 64 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||