Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08439 | Date 23/02/2023 |
| Token No | SM/22-23/8043 23/02/2023 | Serial | 012 |
| Patient Name | Mr. RAM MILAN JAISWARA | Contact No | 8546059964 |
| Address | 7 DEY GHAT LANE | Age | 58 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||