Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 06027 | Date 08/06/2022 |
| Token No | SM/22-23/3272 08/06/2022 | Serial | 006 |
| Patient Name | Mr. BIMAN KUMAR BHAR | Contact No | 9874257391 |
| Address | 41 R B SARANI | Age | 72 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||