Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 07450 | Date 31/10/2022 |
| Token No | SM/22-23/5897 31/10/2022 | Serial | 009 |
| Patient Name | Mr. VISHAL KUMAR GIRI | Contact No | 6204544660 |
| Address | 16 MANIKTALA | Age | 19 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||