Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 08855 | Date 25/04/2023 |
| Token No | SM/22-23/9144 25/04/2023 | Serial | 017 |
| Patient Name | Mr. AJAY RAJBHAR | Contact No | NOT GIVEN |
| Address | JUBILEE BASTI | Age | 49 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||