Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 05780 | Date 05/05/2022 |
| Token No | SM/22-23/2865 05/05/2022 | Serial | 004 |
| Patient Name | Mr. KAMLESH KUMAR PRASAD | Contact No | 9330203774 |
| Address | 3 DEY GHAT LANE | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||