Ticket for Outdoor Patient
| Ward No. 12 | U-PHC No. | Registration No. 08884 | Date 27/04/2023 |
| Token No | SM/22-23/9199 27/04/2023 | Serial | 002 |
| Patient Name | Mr. BISWANATH THAKUR | Contact No | 8981939695 |
| Address | 6 RAM SITA LANE | Age | 50 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||