Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10021 | Date 18/08/2023 |
| Token No | SM/22-23/12407 12/09/2023 | Serial | 012 |
| Patient Name | Mr. RAMAN JHA | Contact No | 7059977322 |
| Address | 100 R.B. SARANI | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||