Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10329 | Date 07/09/2023 |
| Token No | SM/22-23/12323 07/09/2023 | Serial | 016 |
| Patient Name | Mr. SONU KUMAR RAY | Contact No | 6204807422 |
| Address | 7 RAM SITA LANE | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||