Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 06072 | Date 13/06/2022 |
| Token No | SM/22-23/10165 13/06/2023 | Serial | 027 |
| Patient Name | Mr. KUMAR SHANKAR BHAR | Contact No | 9143168260 |
| Address | KALITALA | Age | 48 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||