Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 10656 | Date 05/10/2023 |
| Token No | SM/22-23/12974 05/10/2023 | Serial | 020 |
| Patient Name | Mr. SAMINDAR KUMAR | Contact No | 8013280906 |
| Address | RAMSHITALANE | Age | 28 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||