Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07474 | Date 01/11/2022 |
| Token No | SM/22-23/5932 01/11/2022 | Serial | 024 |
| Patient Name | Mr. SANTOSH BISWAL | Contact No | 8100619707 |
| Address | 10 DEY STREET | Age | 18 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||