Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10314 | Date 05/09/2023 |
| Token No | SM/22-23/12285 05/09/2023 | Serial | 017 |
| Patient Name | Mr. MANU SHA | Contact No | 7980886517 |
| Address | 5 KUMAR PATTY LANE | Age | 68 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||