Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10142 | Date 25/08/2023 |
| Token No | SM/22-23/12622 22/09/2023 | Serial | 021 |
| Patient Name | Mr. SURAJ KUMAR MAHATO | Contact No | 9330212557 |
| Address | 1 L.M. B. STREET | Age | 25 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||