Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07253 | Date 14/10/2022 |
| Token No | SM/22-23/5519 14/10/2022 | Serial | 029 |
| Patient Name | Mr. BHULANDAR RAM | Contact No | NOT GIVEN |
| Address | 10 DEY GHAT LANE | Age | 61 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||