Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06507 | Date 27/07/2022 |
| Token No | SM/22-23/4104 27/07/2022 | Serial | 006 |
| Patient Name | Mr. ARUN KUMAR SHAH | Contact No | 7439701823 |
| Address | 3A DEY STREET | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||