Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08868 | Date 26/04/2023 |
| Token No | SM/22-23/9172 26/04/2023 | Serial | 002 |
| Patient Name | Mr. KALINATH SRIMANI | Contact No | 9674858777 |
| Address | BAT TALA | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||