Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08013 | Date 23/12/2022 |
| Token No | SM/22-23/7141 23/12/2022 | Serial | 010 |
| Patient Name | Mr. KRISHNA SINGH | Contact No | 9801435934 |
| Address | 14C DEY STREET | Age | 40 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||