Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09132 | Date 22/05/2023 |
| Token No | SM/22-23/10540 03/07/2023 | Serial | 010 |
| Patient Name | Mr. RAHUL KUMAR MAJHI | Contact No | 9073607023 |
| Address | 193 RAM SITA LANE | Age | 16 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||