Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 08781 | Date 18/04/2023 |
| Token No | SM/22-23/8948 18/04/2023 | Serial | 009 |
| Patient Name | Mr. PAWAN KUMAR SING | Contact No | 7003282065 |
| Address | 1 DEY GHAT LANE | Age | 23 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||