Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 07618 | Date 12/11/2022 |
| Token No | SM/22-23/8970 18/04/2023 | Serial | 031 |
| Patient Name | Mr. ANIL KUMAR RAJBHAR | Contact No | 7890198322 |
| Address | 11 DOSTI LANE | Age | 34 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||