Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 08892 | Date 27/04/2023 |
| Token No | SM/22-23/9211 27/04/2023 | Serial | 014 |
| Patient Name | Mr. RAM KISHORE PRASAD | Contact No | NOT GIVEN |
| Address | 9 KASHI DOCTOR LANE | Age | 70 Male |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||