Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 06739 | Date 16/08/2022 |
| Token No | SM/22-23/4542 16/08/2022 | Serial | 017 |
| Patient Name | Mr. AMIT SHAW | Contact No | 9470761692 |
| Address | TIN BAZAR | Age | 23 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||