Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 04833 | Date 31/08/2021 |
| Token No | SM/21-22/996 31/08/2021 | Serial | 018 |
| Patient Name | Mr. SATRUGHNA BHARTI | Contact No | 8296578269 |
| Address | DHULI PARA | Age | 62 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||