Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 06691 | Date 10/08/2022 |
| Token No | SM/22-23/4429 10/08/2022 | Serial | 014 |
| Patient Name | Mr. SUSHIL KUMAR CHOUDHARY | Contact No | 8820582676 |
| Address | 62/A RAILAND ROAD | Age | 22 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||