Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09598 | Date 12/07/2023 |
| Token No | SM/22-23/10814 12/07/2023 | Serial | 020 |
| Patient Name | Mr. RAHUL SHAW | Contact No | 9830966794 |
| Address | 55 RAILAND ROAD | Age | 21 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||