Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10738 | Date 06/11/2023 |
| Token No | SM/22-23/13191 06/11/2023 | Serial | 014 |
| Patient Name | Mr. GOUTAM DUBEY | Contact No | 9931700710 |
| Address | WILLAM CAREY ROAD, INDIA JUTE MILL QUATER | Age | 26 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||