Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07672 | Date 15/11/2022 |
| Token No | SM/22-23/6334 15/11/2022 | Serial | 021 |
| Patient Name | Mr. KANAI RAJBHAR | Contact No | NOT GIVEN |
| Address | 39 LBS ROAD | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||