Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08546 | Date 14/03/2023 |
| Token No | SM/22-23/8283 14/03/2023 | Serial | 019 |
| Patient Name | Mr. RAKESH SHA | Contact No | 9883966959 |
| Address | 82 DEY STREET | Age | 33 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||