Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06875 | Date 02/09/2022 |
| Token No | SM/22-23/4822 02/09/2022 | Serial | 018 |
| Patient Name | Mr. UTPAL METE | Contact No | 8274019861 |
| Address | 11 A B GARDEN LANE | Age | 36 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||