Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08739 | Date 10/04/2023 |
| Token No | SM/22-23/8804 10/04/2023 | Serial | 028 |
| Patient Name | Mr. PARMINDAR KUMAR RAI | Contact No | 9163337397 |
| Address | 12 RAM SITA LANE | Age | 28 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||