Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09526 | Date 03/07/2023 |
| Token No | SM/22-23/10564 03/07/2023 | Serial | 034 |
| Patient Name | Mr. MUKESH MAHATO | Contact No | 6290778221 |
| Address | 74 DEY STREET | Age | 35 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||