Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 07566 | Date 09/11/2022 |
| Token No | SM/22-23/6126 09/11/2022 | Serial | 019 |
| Patient Name | Mr. MOHON MAJHI | Contact No | NOT GIVEN |
| Address | RAM SITA LINE, 6 NO LINE | Age | 54 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||