Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10036 | Date 21/08/2023 |
| Token No | SM/22-23/11774 21/08/2023 | Serial | 009 |
| Patient Name | Mr. BHOLANATH PANDEY | Contact No | 9433328488 |
| Address | 8 SARKAR BAGAN | Age | 79 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||