Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08740 | Date 10/04/2023 |
| Token No | SM/22-23/8811 10/04/2023 | Serial | 035 |
| Patient Name | Mr. SHYAM SHA | Contact No | 8334010127 |
| Address | 9 KENAS LANE | Age | 25 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||