Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07138 | Date 26/09/2022 |
| Token No | SM/22-23/5319 26/09/2022 | Serial | 016 |
| Patient Name | Mr. RABI KUMAR | Contact No | 8340438997 |
| Address | 13 DEY STREET | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||