Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10109 | Date 23/08/2023 |
| Token No | SM/22-23/11902 23/08/2023 | Serial | 024 |
| Patient Name | Mr. KARAN NATH | Contact No | 9123935851 |
| Address | 48 KHASH BAGAN LANE | Age | 27 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||