Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07573 | Date 09/11/2022 |
| Token No | SM/22-23/6138 09/11/2022 | Serial | 031 |
| Patient Name | Mr. RAMU SHA | Contact No | 8335985206 |
| Address | DEY STREET | Age | 32 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||