Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06309 | Date 08/07/2022 |
| Token No | SM/22-23/3796 08/07/2022 | Serial | 001 |
| Patient Name | Mr. MISRI LAL PRASAD | Contact No | 7366080691 |
| Address | 3 DEY GHAT LANE | Age | 63 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||