Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 10683 | Date 30/10/2023 |
| Token No | SM/22-23/13655 09/12/2023 | Serial | 015 |
| Patient Name | Mr. RAKESH DAS | Contact No | NOT GIVEN |
| Address | R.B. SARANI | Age | 32 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||