Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08302 | Date 09/02/2023 |
| Token No | SM/22-23/7766 09/02/2023 | Serial | 008 |
| Patient Name | Mr. BIJAY SHA | Contact No | 7044017319 |
| Address | 6 RAM SITA LANE | Age | 34 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||