Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09810 | Date 31/07/2023 |
| Token No | SM/22-23/11257 31/07/2023 | Serial | 003 |
| Patient Name | Mr. RAMUJAGI SHAW | Contact No | 9748138437 |
| Address | DEY STREET | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||