Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10263 | Date 01/09/2023 |
| Token No | SM/22-23/12188 01/09/2023 | Serial | 024 |
| Patient Name | Mr. MANISH KUMAR SHA | Contact No | 9330477459 |
| Address | 30 N.L. B. STRET | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||