Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 06999 | Date 09/09/2022 |
| Token No | SM/22-23/5024 09/09/2022 | Serial | 005 |
| Patient Name | Mr. RAJESWAR PRASAD | Contact No | NOT GIVEN |
| Address | 43 PANCHANAN TALA LANE | Age | 65 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||