Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 07399 | Date 25/10/2022 |
| Token No | SM/22-23/5800 25/10/2022 | Serial | 028 |
| Patient Name | Mr. RAJENDRA PRASAD SHAW | Contact No | 9339951738 |
| Address | 65 I/5 R.K.ROAD | Age | 48 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||