Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 07398 | Date 25/10/2022 |
| Token No | SM/22-23/5799 25/10/2022 | Serial | 027 |
| Patient Name | Mr. PANKAJ PRASAD | Contact No | 9875423817 |
| Address | 7 DEY GHAT LANE | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||