Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08175 | Date 18/01/2023 |
| Token No | SM/22-23/7527 18/01/2023 | Serial | 008 |
| Patient Name | Mr. KAILASH RAJBHAR | Contact No | 9123376027 |
| Address | LBS ROAD | Age | 40 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||