Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08701 | Date 05/04/2023 |
| Token No | SM/22-23/8719 05/04/2023 | Serial | 006 |
| Patient Name | Mr. K ROHON RAO | Contact No | 8478921416 |
| Address | 49 DEY STREET | Age | 20 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||