Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 08830 | Date 24/04/2023 |
| Token No | SM/22-23/9091 24/04/2023 | Serial | 026 |
| Patient Name | Mr. BABLU MAHATO | Contact No | 8420038017 |
| Address | 103 R.B. SARANI | Age | 22 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||