Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08656 | Date 27/03/2023 |
| Token No | SM/22-23/8566 27/03/2023 | Serial | 013 |
| Patient Name | Mr. SUDHIR KUMAR SHA | Contact No | 9748145099 |
| Address | 6 RAM SITA LANE | Age | 29 YRS Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||