Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07028 | Date 13/09/2022 |
| Token No | SM/22-23/5082 13/09/2022 | Serial | 008 |
| Patient Name | Mr. MUKESH PRASAD | Contact No | 7275184766 |
| Address | 3 DEY GHAT LANE | Age | 26 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||