Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 09789 | Date 27/07/2023 |
| Token No | SM/22-23/11216 27/07/2023 | Serial | 001 |
| Patient Name | Mr. MAHADEB PRASAD | Contact No | 8777584619 |
| Address | 11 DOSTI LANE | Age | 62 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||