Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07217 | Date 13/10/2022 |
| Token No | SM/22-23/5457 13/10/2022 | Serial | 001 |
| Patient Name | Mr. SUNDAR PASWAN | Contact No | 8420589323 |
| Address | 16 BOSEPARA SITAL SARKAR LANE | Age | 22 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||