Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 09947 | Date 11/08/2023 |
| Token No | SM/22-23/11567 11/08/2023 | Serial | 014 |
| Patient Name | Mr. RAMLAKSHMAN SINGH | Contact No | 8961443135 |
| Address | 26A NOTUN BAGAN LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||