Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 03281 | Date 23/10/2019 |
| Token No | SM/22-23/14069 03/01/2024 | Serial | 026 |
| Patient Name | Mr. SHIBRAM NATH | Contact No | 9830016626 |
| Address | 50NO AKHRA BATI LANE | Age | 53 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||