Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 09830 | Date 02/08/2023 |
| Token No | SM/22-23/11306 02/08/2023 | Serial | 009 |
| Patient Name | Mr. SURAJ KUMAR | Contact No | 8969612490 |
| Address | 11 INDIA JUTE MILL | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||