Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 09856 | Date 03/08/2023 |
| Token No | SM/22-23/11354 03/08/2023 | Serial | 018 |
| Patient Name | Mr. AKASH KUMAR | Contact No | 9830706830 |
| Address | 120 [POTUA PARA LANE | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||