Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 10817 | Date 23/11/2023 |
| Token No | SM/22-23/13373 23/11/2023 | Serial | 014 |
| Patient Name | Mr. AMAL PASWAN | Contact No | 8015248520 |
| Address | DEY GHAT LANE | Age | 58 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||