Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06880 | Date 02/09/2022 |
| Token No | SM/22-23/4827 02/09/2022 | Serial | 023 |
| Patient Name | Mr. ANIMESH BALEL | Contact No | 9934387429 |
| Address | 29 AKHRA BATI | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||