Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 07907 | Date 07/12/2022 |
| Token No | SM/22-23/7512 17/01/2023 | Serial | 017 |
| Patient Name | Mr. RAHUL KUMAR.. | Contact No | 6355024689 |
| Address | KHATIR BAZAR | Age | 23 Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||