Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 09562 | Date 06/07/2023 |
| Token No | SM/22-23/11739 18/08/2023 | Serial | 039 |
| Patient Name | Mr. SHYAM JAISWARA | Contact No | 7596920891 |
| Address | 13 DEY GHAT LANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||